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"Is it your hormones?" A Quick Self-Assessment for Women
Check the box next to each statement that feels true for you. Be honest - this is just for you.
Menstrual Cycles & Reproductive Clues
My cycles are irregular, heavy OR painful
I have experienced changes in my cycle or spotting.
Energy & Metabolism
I feel tired all the time, no matter what I do.
I crash in the afternoon or feel wired, but tired at night.
I've gained weight, esp around my belly.
I have PMS symptoms that interfere with my life.
I am experiencing hot flashes or night sweats.
It's harder to lose weight than it used to be.
Skin, Hair & Body Changes
I've noticed new, or worsening acne, esp along my jawline.
My libido has dropped -- or disappeared completely.
I'm losing hair, or my hair feels thinner.
I have not had a cycle in over 12 mos and am in menopause.
I have had a partial or complete hysterectomy.
I have dry skin, brittle nails or other skin changes.
I am developing unwanted facial or body hair.
I feel bloated or inflamed often.
Mood, Focus & Sleep
I feel anxious, irritable or emotionally unstable.
Bonus: Digestion, Stress, and Intuition
I feel more sensitive to stress or easily overwhelmed.
I often feel foggy or forgetful.
I struggle to fall OR stay asleep.
I wake up tired even after a full night's sleep.
I don't feel like myself emotionally.
My digestion is unpredictable (bloating, gas, constipation, etc.).
I feel inflamed or “off” but can’t explain why.
I’ve had thyroid, PCOS, or blood sugar issues.
I just don't feel like myself anymore.
Name
Email
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SUBMIT
Your personal hormone assessment will be emailed to you!
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