Q1: How often do you experience hot flushes or night sweats?
Never
Rarely
Sometimes
Often
Always
Q2: How would you describe the quality of your sleep?
Excellent
Good
Average
Poor
Terrible
Q3: How often do you feel anxious or emotionally overwhelmed?
Never
Rarely
Sometimes
Often
Always
Q4: Are you currently in perimenopause, menopause, or post-menopause?
Perimenopause
Menopause
Post-menopause
Not sure
Q5: Which symptoms are you currently experiencing?
Hot flushes
Night sweats
Weight gain
Brain fog
Anxiety
Mood swings
Low libido
Sleep issues
Q6: Have you tried any of the following approaches?
HRT
Diets
Supplements
Therapy
Hypnosis
Other
Q7: What kind of support are you craving most right now?
Symptom relief
Emotional regulation
Spiritual support
Energy balancing
Weight loss
Better sleep
Q8: How regular are your menstrual cycles right now?
Regular (no major changes)
Starting to fluctuate
Absent < 12 months
Absent > 12 months
Q9: Have you noticed changes in your period flow in the past 12 months?
No change
Heavier or lighter
Skipping some cycles
Periods stopped completely
Q10: How long have you been experiencing menopausal symptoms?
< 6 months
6–12 months
1–3 years
3+ years
Q11: Which age range do you fall into?
Under 40
40–45
46–50
51–55
56+
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