These are crafted to diagnose the five big hormone/metabolic zones midlife women struggle with:

🟣 Estrogen Imbalance

🟡 Progesterone Deficiency

🔵 Testosterone Decline

🟢 Thyroid Dysfunction

🔴 Insulin Resistance

How is your energy during the day? *

I’m exhausted all the time

Midday crash like clockwork

Mostly steady but not great

Has your weight changed in the last 1–3 years? *

Gained 15+ lbs with no major lifestyle changes

Gained weight around my belly specifically

Harder to lose weight, but not major gain

How is your sleep? *

I wake up at 2–3 AM regularly

Trouble falling asleep

Sleep is “meh” but I function

Mood + Mental Clarity: *

Irritability or anxiety for no clear reason

Brain fog or trouble concentrating

More emotional than usual

How’s your cycle or perimenopause symptoms? *

Heavy, irregular, or unpredictable

Hot flashes / night sweats

PMS feels stronger than years ago

How’s your libido? *

What libido? Gone.

Lower than it used to be

Slight change

How are your cravings + hunger? *

Intense sugar or carb cravings

Always hungry, especially at night

Fluctuates

How’s your muscle strength + recovery? *

Losing strength even with workouts

Takes longer to recover

Some changes

Any changes in your hair or skin? *

Thinning hair / hair loss

Dry skin or breakouts

Mild changes

How stressed do you feel most days? *

Constantly

More than I want to be

Manageable

Whose phone number and email can we send the results to?

Full Name *

Email *

Phone *