Menopause Assessment Quiz

1

Name* This field is required.

First Name

Last Name

3

What is your current menstrual status?* This field is required.

Regular as clockwork (monthly)

Starting to become irregular (shorter cycles, longer cycles, or skipping months).

Heavy, painful, or flooding periods.

I have not had a period for 12+ months

I have had a hysterectomy or ablation (No period/surgical menopause)

4

How do you typically feel when you wake up in the morning?* This field is required.

Refreshed and ready to go

Groggy and in need of coffee to function.

Exhausted, like I’ve been hit by a truck, even after a full night's sleep.

Anxious or "jittery" despite being tired.

5

It’s 3:00 PM on a workday. Where is your energy?* This field is required.

I’m crashing hard and craving sugar or carbs

I’m still running on adrenaline—I feel "wired" and can't slow down.

I’m foggy and struggling to focus on emails or meetings.

Stable

6

How would you describe your sleep quality?* This field is required.

I fall asleep easily but wake up between 2–3 AM with a racing mind.

I toss and turn, or have trouble falling asleep due to worry.

I sleep fine, but I wake up drenched in sweat (night sweats).

I sleep deeply and wake up rested.

Other

7

How would you describe your "Brain Fog" levels?* This field is required.

Minimal—my mind is sharp.

Moderate—I sometimes walk into a room and forget why.

Severe—I lose words mid-sentence, forget appointments, or feel "disconnected."

It comes and goes, usually linked to my cycle.

8

How are you handling the mental load of your career and family?* This field is required.

I feel overwhelmed and weepy; small things make me cry easily.

I feel irritable and snappy; I have a "short fuse" with my partner or kids.

I feel numb or detached; I just want to be left alone.

I’m handling it well; stress is manageable.

9

When you are under high stress (deadlines, family issues), does your body react physically?* This field is required.

Yes, my heart races or I feel palpitations.

Yes, I get digestive issues (bloating, stomach pain).

Yes, I get tension headaches or migraines.

No, I usually don’t feel physical symptoms of stress.

10

Have you noticed changes in your weight or body shape?* This field is required.

Yes, weight is accumulating around my belly/abdomen that won't budge with diet/exercise.

Yes, I feel generally "puffy," swollen, or inflamed.

No, my weight is stable.

I have actually lost weight or struggle to keep it on.

11

How are your joints and muscles?* This field is required.

Stiff in the mornings or aching for no reason.

I have no joint pain.

I have chronic pain or old injuries flaring up.

I feel bloated or gassy often.

12

Let's talk about libido and intimacy.* This field is required.

It’s non-existent. I have zero interest.

It’s there in my head, but my body isn't responding (dryness or pain).

It’s lower than it used to be, but manageable.

No changes; everything is functioning well.

13

How is your skin and hair?* This field is required.

My skin is dry and thinning; hair is shedding more than usual.

My skin is dull; I have "age spots" or redness.

I have adult acne or oily skin.

No major changes.

14

Do you experience hot flashes or night sweats?* This field is required.

Never.

Occasionally (mostly at night).

Frequently (during the day and night).

They are intense and debilitating.

15

Primary food craving?* This field is required.

Salt and Crunchy foods (chips, pretzels).

Sweets and Carbs (cookies, bread, pasta).

Caffeine (coffee, diet soda) just to keep going.

I don’t have strong cravings.

16

Total Score

17

Please enter your email address to receive your menopause type results.* This field is required.

example@example.com