Menopause Quick Scan

Take the Menopause Quick Scan — it’s just 2 minutes.

You’ll get a clear snapshot of how much menopause is really affecting your body, mind, and daily life. Start your journey to balance, confidence, and vibrant energy again.

Full Name *

Phone *

Email *

Energy & Drive | How often do you feel unusually tired, drained, or like your “spark” has faded? *

Almost Always

Often

Sometimes

Rarely

Never

Mood & Emotional Balance | How often do you feel more anxious, overwhelmed, emotional, or irritable than usual? *

Almost Always

Often

Sometimes

Rarely

Never

Brain Clarity | How often do you struggle with memory, focus, or finding your words? *

Almost Always

Often

Sometimes

Rarely

Never

Sleep Quality | How often do you battle to fall asleep, stay asleep, or wake feeling exhausted? *

Almost Always

Often

Sometimes

Rarely

Never

Body Temperature Changes | How often do you feel sudden waves of heat, warm flushes, or night-time sweating? *

Almost Always

Often

Sometimes

Rarely

Never

Weight & Body Shape Changes | How often do you notice unexplained weight gain, bloating, or a changing body shape? *

Almost Always

Often

Sometimes

Rarely

Never

Joint & Muscle Comfort | How often do your joints or muscles feel stiff, achy, or older than you are? *

Almost Always

Often

Sometimes

Rarely

Never

Intimacy & Libido | How often do you notice changes in interest in sex, vaginal discomfort, or dryness? *

Almost Always

Often

Sometimes

Rarely

Never

Heart, Head & Nerves | How often do you feel palpitations, headaches, dizziness, or sensations that feel “not normal” for you? *

Almost Always

Often

Sometimes

Rarely

Never

Daily Life Impact | How often do these symptoms affecting your confidence, relationships, energy, or joy? *

Almost Always

Often

Sometimes

Rarely

Never

Anything else you would like to share?

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