First Name
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Last Name
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Email
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How do you feel around your menstrual cycle? (if you menstruate) 260qf
Barely notice any changes - no major symptoms
Mild PMS (mood swings, cramps, breast tenderness)
Severe PMS (intense mood swings, headaches, strong cramps, bloating)
How often do you experience breast tenderness or fullness? (outside of pregnancy/breast feeding)
Rarely or never
Occasionally around my cycle
Frequently or almost always
Have you noticed any changes in hair growth or loss?
No noticeable changes
Slight thinning or more shedding than usual
Noticeable hair loss or new facial hair growth
Do you have hot flashes, night sweats, or sudden temperature swings?
Never
Rarely
Often or regularly
Do you experience acne?
Rarely/never
Yes, close to my cycle
Yes, but it's always present
Have you experienced weight gain especially near belly area, even though diet and exercise hasn't changed?
No, weight is stable
A little, but I know why
Yes, mysterious weight gain or stubborn belly fat
Do you wake up between 2-4am and struggle to get back to sleep?
No, I sleep through the night like a swaddled angel baby
Sometimes, but not often
YES! LIKE CLOCKWORK
Are your cycles regular, short or long?
Normal and predictable (21-35 days with 3-7 days of bleeding)
Occasional irregularities (plus or minus 5 days)
Frequently irregular or absent cycles, never know when it's coming.
Do you experience spotting during your cycle?
Nope!
Yes, but only during ovulation
Yes, just before my period (and during ovulation too)
How ready are you to dig deeper into your hormones?
I'm not sure - on the fence but open to learning
I'm curious - I want to know more about the DUTCH test and what you offer.
LET'S GO! I want to feel better and find out what's going on in my body.
