Dr. Mariza Women's Menopause & Hormones Survey: What Wins Are You Looking For?

Please fill out this 4-question survey for a chance to WIN: a signed copy of The Essential Oil Hormone Solution and a bottle of my Hormone Balance supplement.

XOXO
Dr. Mariza

Question Title

* 1. What is the biggest concern you have about perimenopause or menopause? (Select up to three.)

Stress

Anxiety

Cravings

Fatigue

Difficulty Sleeping

Hot Flashes

Mood Swings

Libido

Brain Fog

Bloating

Unexplained Weight Gain

Vaginal Dryness

Other (please specify)

Question Title

* 2. What would your TOP priorities be for places you want to see immediate and lasting change? (Please rank your choices: 1 = Highest Priority; 8 = Lowest)

Urinary Incontinence

Hot Flashes

Mood Swings / Irritability

Vaginal dryness and Low Libido

Stress / Overwhelm

Lack of Energy / Fatigue

Weight Loss / Cravings

Sleep Issues / Insomnia

Question Title

* 3. What do you want to do that your symptoms are currently holding you back from?

Hiking

Yoga

Waking Up Rejuvenated

Playing with Kids/Grandkids

Running a 5K

Traveling

Starting a Passion Project

Date Nights/ Hanging Out with Girlfriends

Start a New Business/Advance Your Career

Exercising Regularly

Art Projects

Volunteering & Giving Back

Dr. Mariza Women's Menopause & Hormones Survey: What Wins Are You Looking For?

Question Title

* 1. What is the biggest concern you have about perimenopause or menopause? (Select up to three.)

Question Title

* 2. What would your TOP priorities be for places you want to see immediate and lasting change? (Please rank your choices: 1 = Highest Priority; 8 = Lowest)

Question Title

* 3. What do you want to do that your symptoms are currently holding you back from?

Question Title

* 4. What is preventing you from addressing these issues?

Question Title

* 5. Email Address (Only required if you want to be entered into Giveaway)