Women's Performance & Health Study
⏱ Estimated completion time: 3–5 minutes
Research Study Purpose:
We are gathering data on the impact of hormonal changes on the cognitive performance of women in leadership roles.
Which best describes your current professional role?
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C-Suite/Executive
VP/Director
Senior Manager
Manager
Other
Which age bracket do you fall into?
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Under 35
35–44
45–54
55–64
65+
How many direct reports or team members do you manage?
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1–5
6–15
16–50
51–100
100+
In a typical high-stakes work week, how often do you experience brain fog or difficulty concentrating?
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Never
Rarely
Sometimes
Often
Almost always
Have you noticed a change in your ability to maintain mental stamina during long meetings compared to 5–10 years ago?
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Yes, significantly
Yes, somewhat
No change
I perform better now
Not sure
Which of the following symptoms negatively impact your work performance? Select all that apply.
Brain fog/difficulty concentrating
Memory lapses
Fatigue/low energy
Mood swings or irritability
Sleep disruption
Anxiety or increased stress
Difficulty with decision-making
None of the above
Do you think hormonal changes may be contributing to the symptoms you experience at work?
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Definitely — I'm certain of it
Probably — it makes sense to me
Possibly — I'm not sure
Unlikely — I think it's something else
I haven't thought about it
Have you sought help from a doctor for these performance symptoms?
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Yes — and it was helpful
Yes — but I didn't get the answers I needed
No — I haven't brought it up yet
No — I didn't think it was worth mentioning
How valuable would the following program features be to you?
Rows
Not valuable
Somewhat valuable
Very valuable
Essential
Personalized hormone optimization
Executive lifestyle coaching for sleep and nutrition
Regular lab testing and monitoring
Targeted nutrient therapy
If a program could help stabilize your energy and protect your cognitive performance for the next decade, how high of a priority would this be for you right now?
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Top priority
High priority
Medium priority
Low priority
Not a priority
Our highly personalized clinical program would range from $13.70 to $27.40 per day. How comfortable are you with this price point?
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Reasonable given the value
Steep, but worth it if results are proven
Too expensive
Not sure
Other
What is the ONE thing this program would need to include to make it a no-brainer investment for you? (Optional)
Based on everything you've shared — the symptoms affecting your performance, the features you value, and the investment level — how interested are you in joining this program?
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Not interested
1
2
3
4
5
6
7
8
9
Extremely interested
10
1 is Not interested, 10 is Extremely interested
Privacy and Anonymity Acknowledgment: I understand my responses are completely anonymous and no personally identifiable information will be collected or shared.
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I understand
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