🌿Hormone Imbalance Check

This short quiz is designed to help you reflect on how you’re feeling—both physically and emotionally—from the inside out.

Rate each symptom below:

1. Low energy or fatigue

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

2. Feeling anxious

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

3. Easily irritated

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

4. Struggling to manage stress

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

5. Feeling down or hopeless

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

6. Tearful for no reason

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

7. Sudden mood changes

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

8. Daytime drowsiness

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

9. Forgetfulness or brain fog

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

10. Headaches or migraines

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

11. Cold hands and/or feet

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

12. Feeling dizzy or lightheaded

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

13. Dry or rough skin

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

14. Thinning hair or hair loss

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

15. Weak or brittle nails

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

16. Craving sweets or salty snacks

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

17. Bloating or water retention

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

18. Unexplained weight gain

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

19. Breast tenderness

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

20. Vaginal dryness or discomfort

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

21. Low or absent libido

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

22. Trouble falling or staying asleep

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

23. Waking up hot at night

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

24. Unexpected sweating

0 = Doesn’t apply 1 = Occasionally 2 = Frequently 3 = Nearly every day

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