Perimenopause Imbalance Assessment
15 questions to find out what’s driving your symptoms & how to start working with your body naturally
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Energy & Mood
1. How would you describe your energy levels right now?
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A Scattered and all over the place, I have bursts but crash hard
B Wired but exhausted, I push through but I'm running on fumes
C Heavy and slow, getting started takes so much effort
D Unpredictable, some days okay, other days nothing left
Other
2. When anxiety or worry shows up, it tends to feel like:
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A Spinning thoughts, racing mind, can't land anywhere
B Irritation, urgency, a low-level pressure that won't release
C A heavy dread or reluctance, I withdraw and go quiet
D I don't really experience anxiety
Other
3. How have your moods been shifting lately?
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A Unstable, I swing quickly and sometimes don't know why
B I feel more reactive or sharp-edged than I used to
C Low and flat, I'm not sad exactly, just not lit up
D Pretty stable, just tired
Other
SLEEP & NERVOUS SYSTEM
4. What does your sleep look like most nights?
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A Hard to fall asleep, my mind is still going when I lie down
B Fall asleep okay but wake up hot, restless, or at 3am
C Sleep a lot but don't feel rested, heavy and groggy in the morning
D Fairly good but earlier to bed than I used to be
Other
5. How does your body respond to stress?
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A I get flighty, forgetful, or I freeze and can't make decisions
B I get sharp and driven, it's hard to slow down
C I shut down, go slow, or want to eat and hibernate
D I absorb it quietly and then feel depleted later
Other
HEAT & CIRCULATION
6. Which description fits your experience of body heat?
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A Fluctuating, sometimes cold, sometimes sweaty, no pattern
B Frequently warm or overheated hot flashes are a real presence
C Usually cool or cold, I layer up and still feel chilly
D Night sweats more than daytime heat
Other
7. How would you describe your skin and hair lately?
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A Dry, thin, or more delicate, quick to crack or flake
B Oily, flushed, or prone to breakouts, my skin runs warm
C Dull, puffy, or congested, products just sit on top
D Normal but drier than it used to be
Other
DIGESTION
8. How is your digestion day-to-day?
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A Irregular, sometimes fine, sometimes bloated or constipated
B Strong and quick, sometimes too quick (loose, burning, urgent)
C Slow and heavy, I feel full a long time and things don't move
D Generally okay but more sensitive to certain foods lately
Other
9. Do you notice any of these signs? Choose the closest match.
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A Coated tongue in the morning, especially after heavier meals
B Feeling foggy or sluggish after eating
C Ongoing bloating or undigested food in stool
D None of the above, my digestion feels fairly clear
Other
10. How is your appetite?
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A Variable, sometimes ravenous, sometimes I forget to eat entirely
B Strong and regular, irritable or headachy if I miss a meal
C Low or inconsistent, I could skip meals and feel fine
D I eat out of habit more than real hunger lately
Other
MIND & CLARITY
11. How has your mental clarity been?
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A Scattered, hard to focus, forgetting things, thoughts jump around
B Sharp but intense, overthinking, critical, hard to switch off
C Foggy and slow, like wading through mud to get a clear thought
D Not bad, just not as quick as I used to be
Other
12. What is your relationship with making decisions right now?
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A Difficult, I second-guess everything and feel overwhelmed by options
B Quick and decisive, sometimes too quick, I can be reactive
C I put things off, I know what needs doing but I resist starting
D Okay once I start, but getting going takes effort
Other
Body & Weight
13. How has your body been changing through perimenopause?
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A Losing weight or feeling lighter and more fragile than before
B Shifting around the middle with inflammation or heat-related changes
C Gaining steadily especially at belly and hips, hard to shift
D Fluctuating, up and down without clear reason
Other
14. How do your joints and muscles feel?
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A Achy, cracking, or stiff, especially when I haven't moved for a while
B Inflamed, tender, or burning, heat and soreness after exertion
C Heavy and stiff in the morning but better as I move
D Generally fine, just less flexible than before
Other
15. After a full night's sleep, you typically feel:
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A Unrested, light, or anxious, sleep doesn't quite land
B Okay but I wake up already planning and slightly tense
C Groggy and heavy, I need a long time to actually feel awake
D Better than during sleep, but never truly refreshed lately
Other
Is there anything else you'd like me to know about what you're experiencing?
Discover What's Driving Your Perimenopause Symptoms | Sacred Fire
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