Discover what's draining your energy and keeping you from feeling like yourself again.
Physical Energy
I wake up exhausted even after 7-8 hours of sleep.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I have afternoon energy crashes.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I experience brain fog.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I rely on caffeine.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
Hormone Symptoms
I experience hot flashes.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
My periods are irregular.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I have mood swings.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
My sleep is disrupted (trouble falling asleep or waking up at 3am).
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I've gained weight.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
My libido has disappeared.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
Emotional Regulation
I snap at people I love.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I feel overwhelmed.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I cry more easily.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I feel anxious.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I feel disconnected.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
Stress & Boundaries
I say "yes" when I want to say "no".
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I feel like I'm running on adrenaline and cortisol.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I have trouble relaxing.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I feel resentful.
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Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
I put everyone else's needs before my own.
*
Never/Not at all
0
1
2
3
4
Every day/All the time
5
0 is Never/Not at all, 5 is Every day/All the time
Contact Details
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First Name
*
Email Address
*
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MILD ENERGY DRAIN
MODERATE ENERGY DRAIN
SIGNIFICANT ENERGY DRAIN
SEVERE ENERGY DRAIN
Total Score
Calculation
Get My Energy Drain Report
Should be Empty: