Bioidentical Hormone Replacement (HRT) Symptom Quiz Survey

1.ENERGY & MOOD: Check all that apply

I feel tired even after a full night's sleep

I experience mood swings or irritability

I feel more anxious or depressed than usual

I struggle with focus, motivation, or brain fog

2.WEIGHT & METABOLISM: Check all that apply

I’ve gained weight without changing my diet or activity

I have trouble losing weight despite healthy habits

I crave sugar or carbs often

My body feels bloated or inflamed

3.HORMONE-RELATED SYMPTOMS: Check all that apply

My libido is lower than it used to be

I have hot flashes or night sweats

I feel less physically strong or resilient

My menstrual cycle is irregular (if applicable) or I have symptoms of low testosterone (if male)

4.SLEEP & RECOVERY: Check all that apply

I have trouble falling or staying asleep

I wake up between 2–4am regularly

I feel “wired but tired” throughout the day

I don't recover well from workouts or physical activity

5.If you checked 5 or more, your symptoms may be related to
hormone imbalance. A comprehensive consult with our provider
can help you explore safe, personalized options with BHRT.

Bioidentical Hormone Replacement (HRT) Symptom Quiz

Check all that apply. This quiz may help us understand ifhormone imbalance is affecting your health.

Check all that apply. This quiz may help us understand if
hormone imbalance is affecting your health.