Hormone Health Quiz
What is your sex?
Female
Male
What age range are you in?
Under 25
25-35
36-45
46-55
Over 55
What symptoms are you currently experiencing?
Fatigue
Weight Gain
Mood/Anxiety
Low Libido
Sleep Issues
Hot Flashes/Night Sweats
Brain Fog
Infertility
Vaginal Dryness
Hair Loss/Thinning
Erectile Dysfunction
Heavy periods
If you are a female, which of the following describes your menstruation stage?
Cycling Female (generally timed periods every 26-35 days)
Perimenopause: Intermittent periods/irregularity, may have missed periods but have had a cycle in the last 12 months
Menopause/Surgical Menopause: 12 months without a period or have had surgery an no longer cycle
How would you describe your stress level?
Low
Moderate
High
Very High
How many hours of sleep do you get per night?
Less than 5
5-6
7-8
More than 8
Have you recently experienced major life changes?
Yes
No
What are your top wellness goals? (Select up to 2)
Improve Sleep
Balance Mood
Boost Metabolism
Regulate Hormones
Increase Libido
Increase Fertility
How ready are you to make the next step to your wellness?
Just looking for information/education
100% READY!
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