How old are you?

What best describes your menstrual cycle?

Regular and predictable

Occasionally irregular

Frequently skipped or unpredictable

Stopped completely for over 12 months

Are you experiecing hot flashes or night sweats?

No

Occasionally

Several times a week

Daily or more

How is your sleep?

I sleep well

Sometimes I struggle

I wake up often or too early

I'm exhausted despite sleep

Have you noticed mood changes?

No

More irritable or anxious

Mood swings or emotional

I feel disconnected or unlike myself

Are you having trouble with focus, memory, or mental clarity?

No

Occasionally

Often enough to notice

It’s affecting my work or daily life

Are you experiencing joint or muscle aches/stiffness?

No

A little more than usual

Persistent or worsening pain

I feel stiff or weaker

Have you noticed changes in your skin, hair, or nails?

No

Dry skin or thinning hair

Brittle nails or dull skin

All of the above

Have you experienced any of these overlooked symptoms?

Are you just not feeling like yourself?

No, I feel pretty normal

I’m not sure, something feels off

Yes — I feel disconnected, drained, or like a different version of myself

First Name *

Last Name *

Phone *

Email *