Which Perimenopause Stage Are You In?
This quiz is for educational purposes only and is not a medical diagnosis. It's designed to help you understand your symptoms and decide whether a conversation with a hormone health provider makes sense for you.
Q1: What's your age range?
Under 35 years old
35-40
41-45
46-50
51+
Q2: What is your name?
*
First Name
Last Name
Q3: Where should we send your personalized results?
*
example@example.com
Q4: Your phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Q5: Cycle changes - How would you describe your menstrual cycle over the last year?
Still regular, no noticeable changes
Slightly irregular (a few days off here and there)
Noticeably irregular (skipping, unpredictable timing/flow)
Very irregular or have skipped multiple months
Never had regular periods
Do not get my period due to surgery or medication
Had regular periods, but they have stopped entirely for the last 12 months (only select this if your period has stopped "naturally" and not due to surgery or medication)
For the remaining questions, answer for each symptom.
Where Never = never or not applicable, and Constantly = constantly or extremely applicable
Q6: Hot Flashes
Never
Occassionally
Frequently
Constantly
Q7: Sleep Disruption
Never
Occassionally
Frequently
Constantly
Q8: Night Sweats
Never
Occassionally
Frequently
Constantly
Q9: Issues with Fatigue
Never
Occassionally
Frequently
Constantly
Q10: Mood swings, irritability, or anxiety
Never
Occassionally
Frequently
Constantly
Q11: Brain fog or memory lapses
Never
Occassionally
Frequently
Constantly
Q12: Lower sex drive/libido
Never
Occassionally
Frequently
Constantly
Q13: Vaginal dryness or discomfort
Never
Occassionally
Frequently
Constantly
Q14: Urinary urgency or discomfort
Never
Occassionally
Frequently
Constantly
Q15: Weight gain or fat redistribution despite no diet/activity change
Never
Occassionally
Frequently
Constantly
Q16: New joint aches or muscle stiffness
Never
Occassionally
Frequently
Constantly
Form Total Score
Submit
Should be Empty: