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Which option best describes your menstrual cycle right now? *

A) I am still cycling. My periods are regular or mostly regular, but symptoms like PMS or cramps are worsening.

B) I am still cycling, but my periods have become irregular such as skipping months, coming closer together, or suddenly becoming much heavie

C) I have not had a menstrual period in 12 months or more.

D) I am in surgical menopause due to ovary removal.

Have you experienced any of the following? Check all that applies *

A) Hot flashes or night sweats

B) Vaginal dryness or pain with intercourse

C) Significant drop in libido

D) None of the above

Which statements apply to you? Check all that apply (Sleep and Evening Stress Patterns) *

A) I feel wired but tired at night and do not wake up feeling rested

B) I have difficulty falling asleep because my mind feels busy or overstimulated

C) I fall asleep but wake during the night and struggle to get back to sleep

D) I feel stressed in the evenings and have strong food cravings

E) I have not noticed changes in sleep or food cravings in the evenings

Where do you primarily gain weight? *

A) Mostly in my abdomen as firm or hard belly fat

B) Abdomen, hips, and thighs with softer fat and no breast enlargement

C) Weight gain is evenly distributed and my whole body feels thicker or heavier

D) Waist, hips, and thighs with noticeable breast enlargement

E) No noticeable weight or body changes

Which statements apply? Check all that apply. *

A) I feel sleepy after meals and want to nap

B) I need to eat every few hours to feel stable or I feel shaky or foggy

C) I do not feel hungry until I am suddenly starving

D) I tend to eat past fullnes

E) No changes in appetite or hunger

Have you noticed any of the following? Check all that apply. *

A) Thinning hair including the scalp or eyebrows

B) Very dry skin or thick calluses on the heels

C) Chronic constipation meaning fewer than one complete bowel movement per day

D) I am always cold or have cold hands and feet

E) None of the above

Which apply to you? Check all that apply. *

A) Chronic joint pain, muscle stiffness, or body aches not related to exercise

B) Persistent brain fog or slowed thinking

C) Chronic bloating, gas, or new food sensitivities

D) None of the above

If you are still cycling, do you experience any of the following? Check all that apply. *

A) Worsening PMS including mood changes before your period

B) Heavy periods, flooding, or large clots

C) Predictable menstrual migraines

D) I am not cycling

How do you feel in the morning? *

A) Exhausted despite adequate sleep duration and I find it hard to get going in the morning

B) Not hungry in the morning and unable to eat until later in the day

C) I wake feeling anxious or with a racing mind

D) No noticeable morning changes

Which best describes your recent mood? *

A) Anxious, on edge, or mentally overstimulated

B) Flat, low motivation, or emotionally dulled

C) Irritable, snappy, or unusually reactive

D) I have not noticed mood changes

Which apply to you? Check all that apply. *

A) It takes days to recover from workouts that used to feel easy

B) I feel puffy or retain fluid in my hands, feet, or abdomen

C) I get sick more easily or take longer to recover

D) None of these apply to me

What do you crave most often? *

A) Sweets or refined carbohydrates

B) Salty foods

C) Chocolate especially before my period

D) I crave all of it - salty, sweet and chocolate

E) I do not experience cravings

Which best describes your cognition? *

A) Brain fog or cloudy thinking

B) Increased forgetfulness or trouble recalling things

C) My focus feels optimal

When you experience acute stress, what happens? *

A) I feel shaky, irritable, or urgently need food

B) I completely lose my appetite

C) I develop stress related headaches or migraines

D) Stress does not noticeably change my body or appetite

Have you noticed changes in your breasts? *

A) Increased tenderness or lumpiness especially before periods

B) Loss of fullness or feeling deflated

C) No changes

Which apply to you? Check all that apply. *

A) Morning joint stiffness or achiness that improves as the day goes on

B) New or worsening headaches (not migraine) that are not cycle related

C) None of these apply to me

Which best describes you? *

A) Libido feels absent

B) Low libido with vaginal dryness or discomfort

C) Libido exists but stress or fatigue interferes

D) My libido feels optimal

Have you noticed any of the following? *

A) Heart palpitations or racing sensations

B) New changes in high blood pressure or increased cholesterol

C) Low iron or anemia

D) None of the above

Which statement fits best? *

A) I feel less resilient and more easily overwhelmed than I used to

B) I feel inflamed or swollen especially in the morning

C) I feel older than my age with low energy and a slowed metabolism

D) None of these apply to me

Have you been diagnosed by a healthcare provider with any of the following? *

A) Prediabetes or PCOS

B) Hypothyroidism

C) Autoimmune conditions including Hashimotos. Lupus, Colitis, etc. or Endometriosis

D) Low bone density or osteoporosis

E) I have not been diagnosed with any of these