First Name

Last Name

Email *

I would like to receive a newsletter, updates and special offers.

Age range *

38-45

45-55

55-65

Over 65

Note: Please answer the quiz questions by choosing the option that best reflects how you’ve felt over the last 6–12 months.

How would you describe your current menstrual cycle? *

Regular as usual

Occasionally irregular

Very irregular or heavier/lighter than normal

No longer having periods

Do you experience sudden heat or hot flushes during the day? *

Never

Occasionally, but not too bothersome

Often—makes me pause or take action

All the time, disrupts my comfort

How often do you wake up at night feeling hot or drenched in sweat? *

Never

Once or twice a week

Several nights a week

Almost every night

How is your sleep overall? *

Deep and restful

Slightly disturbed now and then

Frequently disrupted, I wake often

Poor - I feel exhausted most mornings

How often do you feel anxious, worried or tense for no clear reason? *

Rarely or never

Occasionally

Often - I notice a difference in myself

Daily - I feel overwhelmed

How have your moods been lately? *

Stable and calm

A bit up and down

Mood swings are common

Very unpredictable or intense emotions

Have you experienced difficulty concentrating or forgetfulness (brain fog)? *

No issues

Sometimes forget things

Often distracted or foggy

Constant mental fatigue or confusion

How often do you feel low, upset, or emotionally numb? *

Never

Occasionally

Often

Almost always

Have you experienced a drop in sexual desire or pleasure? *

No changes

Slight drop

Clear reduction

No interest or pleasure at all

Are you experiencing any vaginal dryness or discomfort? *

Not at all

Mild discomfort

Noticeable during intimacy

Persistent dryness and pain

Have you experienced pain or discomfort during sex? *

Never

Occasionally

Often

I avoid sex due to pain

Are you needing to urinate more frequently than usual or urgently? *

No change

Occasionally

Often disrupts daily routine

Constantly affects my life

Have you experienced any leaking of urine when laughing, coughing or exercising? *

Never

Occasionally

Often

It’s a daily struggle

Do you feel more tired or fatigued than you used to, even after rest? *

Not really

A little more tired than usual

Often exhausted

Constant fatigue regardless of sleep

Have you gained weight without significant lifestyle changes? *

No weight gain

A little weight gain

Noticeable increase

Unexplained, stubborn weight gain

Have your joints become stiff, painful or achy? *

No change

Slight discomfort occasionally

Regular aches or stiffness

Daily joint pain or restriction

Have you experienced changes in your skin (dryness,uneven, loose, dullness, itching)? *

No noticeable change

Occasionally dry or itchy

Often feels different

Constant irritation or visible change

Do you feel bloated or have more digestive discomfort than before? *

No bloating

Slight bloating

Regular bloating after eating

Always feel uncomfortable or bloated

Have you noticed changes in your hair (thinning, falling out)? *

No hair changes

Slight thinning

Noticeable hair loss

Ongoing or distressing hair loss

Do you feel less like yourself or disconnected from your usual energy and identity? *

No, I feel like myself

Sometimes

Often feel ‘off’

Constantly feel unlike myself