HORMONE DEFICIENCY QUIZ

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

Confirm Email

3

Have you noticed a change in your energy levels, feeling more tired than usual without a clear reason?* This field is required.

Yes, frequently

Occasionally

Rarely or never

4

Do you often feel unusually cold or have trouble staying warm?* This field is required.

Almost always

Sometimes

Rarely

5

How would you describe your recent mood patterns?* This field is required.

Often feel moody or irritable

Sometimes moody

Generally stable

6

Have you experienced changes in your weight that are hard to explain by diet or activity levels?* This field is required.

Significant weight gain or loss

Some weight fluctuation

No noticeable change

7

Are you having trouble sleeping, either falling asleep or staying asleep throughout the night?* This field is required.

Frequently have trouble

Occasionally have trouble

Sleep well

8

Have you noticed a decrease in your muscle mass or strength?* This field is required.

Yes, noticeably

A slight decrease

No change

9

Do you often feel anxious or depressed without any apparent reason?* This field is required.

Frequently

Occasionally

Rarely

10

Have you observed a decrease in your sex drive recently?* This field is required.

Significantly decreased

Slightly decreased

No change

11

Do you experience frequent headaches or migraines?* This field is required.

Very often

Sometimes

Rarely or never

12

Have you noticed any changes in your skin, such as increased dryness or frequent breakouts?* This field is required.

Yes, noticeable changes

Minor changes

No changes

13

Is your hair thinning or are you experiencing unusual hair loss?* This field is required.

Significant hair loss

Mild hair thinning

No hair issues

14

How would you rate your recent appetite?* This field is required.

Increased or decreased significantly

Slight change

No change

15

Have you experienced any unexplained gastrointestinal issues like constipation or frequent bloating?* This field is required.

Frequently

Occasionally

Rarely

16

Do you find yourself forgetting things more often than usual or having difficulty concentrating?* This field is required.

Yes, often

Sometimes

Rarely

17

Have you noticed any swelling or puffiness in your hands, feet, or face?* This field is required.

Yes, regularly

Occasionally

Not at all

18

Are you experiencing irregular heartbeats or palpitations?* This field is required.

Frequently

Sometimes

Never

19

WOMEN: Have you had any recent changes in your menstrual cycle?* This field is required.If you answered yes to this question, we recommend that you take the Female Hormone Therapy Quiz for further information.

Significant changes

Minor changes

No changes/stable

Does not apply

20

MEN: Have you had noticed any recent changes in your erectile function?* This field is required.If you answered yes to this question, we recommend that you take the Male Testosterone Replacement Quiz.

Significant changes

Minor changes

No changes/stable

Does not apply

21

Do you feel less resilient to stress than you used to be?* This field is required.

Much less resilient

Somewhat less resilient

As resilient as ever

22

Have you noticed a decrease in your body's temperature regulation, feeling hot or cold unexpectedly?* This field is required.

Yes, often

Occasionally

Never

23

Considering your overall well-being, how would you compare it to a year ago?* This field is required.

Much worse

Slightly worse

About the same or better

24

How much do you know about the symptoms and treatments for hormone imbalances, including conditions like thyroid disorders and low testosterone?* This field is required.

I'm very knowledgeable and understand both symptoms and treatments.

I know some basic symptoms and treatments.

I have limited knowledge on the subject.

25

Have you ever been diagnosed with a hormone imbalance, or has a healthcare provider discussed this possibility with you?* This field is required.

Yes, I have been diagnosed with a hormone imbalance.

I've discussed it as a possibility but haven't been diagnosed.

No, I've never discussed this with a healthcare provider.

26

How open are you to considering alternative or holistic therapies in managing hormone imbalances?* This field is required.

Very open; I am willing to explore all options.

Somewhat open; I would consider it alongside conventional treatments.

Not open; I prefer sticking to conventional medical treatments.

27

Do you know someone (a friend, family member, or colleague) who has experienced symptoms of hormone imbalance? How has it affected them?* This field is required.

Yes, and it has significantly affected their life.

Yes, but it doesn't seem to have a major impact on their daily life.

No, I don't know anyone with such symptoms.

28

In terms of proactive health management, how frequently do you educate yourself on conditions like hormone imbalances?* This field is required.

Regularly; I keep up-to-date with the latest research and information.

Occasionally; I learn about it when it seems relevant to me or someone I know.

Rarely; I rely mostly on information provided during medical appointments.

29

QUIZ TOTALYour quiz total is below. Select the Submit button below to learn more about hormonal imbalances and the treatment options available. *Must be at least 18 years old to qualify for the plans and services offered.