1. How would you describe your energy levels? *

A. Constantly fatigued, even after a full night’s sleep

B. Sometimes tired, but manageable

C. I feel energized most days

2. Are you experiencing changes in your mood or mental clarity? *

A. Yes, frequent mood swings, anxiety, or brain fog

B. Occasionally, but nothing extreme

C. No, I feel mentally sharp and emotionally stable

3. Have you noticed any changes in your weight or metabolism? *

A. Yes, unexplained weight gain and a sluggish metabolism

B. A little fluctuation, but nothing concerning

C. No major changes

4. How would you rate your sleep quality? *

A. Poor – I struggle to fall or stay asleep

B. Inconsistent – some nights are good, others are not

C. Great – I wake up feeling rested

5. Are you experiencing changes in your libido or intimacy? *

A. Yes, my desire and comfort have significantly declined

B. Some changes, but not drastic

C. No, my libido feels normal

6. Have you noticed changes in your hair, skin, or muscle tone? *

A. Yes, thinning hair, dry skin, and muscle loss

B. Some minor changes

C. No, everything feels normal

7. Do you struggle with recovery after exercise or general muscle weakness? *

A. Yes, my muscles feel weaker and I recover slowly

B. Occasionally, but nothing severe

C. No, I feel strong and recover well

8. Have you experienced hot flashes, night sweats, or temperature fluctuations? *

A. Yes, frequently

B. Occasionally

C. No, not at all

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