The 5-Minute
Hormone Symptom Scorecard
Do you experience frequent brain fog or forgetfulness?
*
Yes
No
Do you find yourself losing focus or struggling to finish tasks?
*
Yes
No
Have you noticed your mental sharpness has declined recently?
*
Yes
No
Do you feel anxious or depressed more often than usual?
*
Yes
No
Have you been told your cholesterol or blood pressure is creeping up?
*
Yes
No
Do you feel like your stamina or circulation has decreased?
*
Yes
No
Do you experience heart palpitations or irregular heartbeat?
*
Yes
No
Are you gaining weight—especially belly fat—despite no major diet changes?
*
Yes
No
Does your metabolism feel slower than it used to?
*
Yes
No
Are you finding it harder to lose weight than ever before?
*
Yes
No
Do you wake up feeling unrefreshed, no matter how much you sleep?
*
Yes
No
Have you experienced extreme fatigue during the day?
*
Yes
No
Do you struggle to fall or stay asleep?
*
Yes
No
Are you having hot flashes or night sweats?
*
Yes
No
Do you have irregular or absent periods (if not postmenopausal)?
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Yes
No
Have you lost interest in sex—or find it uncomfortable?
*
Yes
No
Do you feel like your hormones are “out of control”?
*
Yes
No
Do you experience joint pain or stiffness?
*
Yes
No
Have you noticed a decrease in muscle strength or tone?
*
Yes
No
Have you been diagnosed with osteopenia or osteoporosis?
*
Yes
No
Is your skin aging more rapidly than before (dry, sagging, dull)?
*
Yes
No
Have you experienced thinning hair or increased shedding?
*
Yes
No
Have you noticed new or worsening digestive issues (bloating, constipation, discomfort)?
*
Yes
No
Do you have frequent indigestion, heartburn, or nausea?
*
Yes
No
Do you feel like you have to push yourself to get through daily activities that used to feel effortless?
*
Yes
No
Enter Your Info to See Your Hormone Score
Full Name
*
Email
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