Morning Check-in for Perimenopause Wellness 🌸
A quick and calming way to start your day, with simple sections and gentle prompts.
How did you sleep?
Wake Time
*
Hour Minutes
AM
PM
AM/PM Option
Hours Slept
*
Please Select
Less than 4
4-5
5-6
6-7
7-8
8-9
More than 9
How restorative was it?
*
1
2
3
4
5
Any night sweats?
*
Yes
No
Night Sweats Severity
Please Select
Mild
Moderate
Severe
How many times did you wake up?
*
Please Select
0
1
2
3
4
5+
How do you feel right now?
Morning Mood
*
Good
Neutral
Low
Irritable
Anxious
Exhausted
Energy level right now
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Brain Fog
Please Select
None
Mild
Moderate
Significant
Joint or Muscle Stiffness
Yes
No
Had a hot flash yet this morning?
Yes
No
A couple more things
Is today the first day of your period?
*
Yes
No
Weather Note
Overall First Impression
*
Good day ahead
Uncertain
Rough start
Notes
Done — start the day 🌸
Should be Empty: