How's your energy been lately?
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Pretty steady throughout the day
Some days good, some days exhausted
Tired all the time, no matter what
Running on coffee and willpower
How well are you sleeping?
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Sleep through the night, wake up refreshed
Struggle to fall asleep or wake up during the night
Sleep enough hours but still feel tired
My sleep is unpredictable
How often do you feel moody, irritable, or anxious?
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Almost never
Sometimes
Frequently
Nearly every day
How's your mental clarity?
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Sharp and focused
Brain fog or trouble concentrating
Feel mentally sluggish most days
Depends on the day
Notice any body changes that might be hormone-related?* (like weight shifts, hot flashes, or libido changes)
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Nothing major
A few subtle things
Yes, and it's affecting my daily life
Not sure what's normal
What's your typical stress level?
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Under control
Moderate, but I'm managing
Often feels overwhelming
Constantly stressed out
What health goal matters most to you right now?
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Having more energy throughout the day
Sleeping better and recovering faster
Balancing my hormones
Feeling mentally clear and emotionally stable
Overall health and longevity
Which best describes you?
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Woman dealing with perimenopause or hormone changes
Man wanting better energy and performance
Just want to feel better overall
Not sure, but something feels off
Ever worked with a hormone specialist before?
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Yes, I'm currently seeing one
Yes, but not anymore
No, but I've thought about it
No, this is all new to me
Want personalized guidance on your next steps?
Yes, absolutely
Maybe, I'd like to learn more first
No, just exploring options
Full Name
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Phone
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Email
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