Part A A feeling you’re constantly racing from one task to the next? Feeling wired yet tired? A struggle calming down before bedtime, or a second wind that keeps you up late? Difficulty falling asleep or disrupted sleep? A feeling of anxiety or nervousness—can’t stop worrying about things beyond your control? A quickness to feel anger or rage—frequent screaming or yelling? Memory lapses or feeling distracted, especially under duress? Sugar cravings (you need a swwet treat after each meal, usually chocolate)? Increased abdominal circumference, greater than 35 inches abdominal fat, or muffin top—not bloating)? Skin conditions such as eczema or thin skin (sometimes physiologically and psychologically)? Bone loss ? High blood pressure or rapid heartbeat unrelated to regular events that cause excitement High blood sugar (maybe your clinician has mentioned the words prediabetes or even diabetes or insulin resistance)? Shakiness between meals, also known as blood sugar instability? Indigestion, ulcers, or GERD (gastroesophageal reflux disease)? More difficulty recovering from physical injury than in the past? Unexplained pink to purple stretch marks on your belly or back? Irregular menstrual cycles? Part B Fatigue that’s not relieved by sleep? Difficulty waking, even after a full night’s sleep? You feel like you “crash” in the afternoon? Feeling light-headed when standing up too fast? Low blood pressure or fainting spells? You depend on coffee, sugar, or salty snacks to get through the day? You feel worse after skipping meals or waiting too long to eat? You’re more susceptible to colds and infections lately? You bruise more easily than you used to? You have trouble bouncing back from stress, illness, or injury? You often feel emotionally flat or numb? You find it hard to motivate yourself? You feel apathetic or indifferent to things you used to enjoy? You feel overstimulated by social interaction? You struggle with low sex drive or lack of desire? You feel emotionally triggered easily? Your symptoms worsen after stress or conflict? You crave salt or fatty comfort foods more than usual? You sometimes feel like you “hit a wall” by mid-morning or mid-day? Part C PMS that begins a full week before your period? Periods that come too early, or cycles shorter than 26 days? Anxiety, irritability, or mood swings before your period? Difficulty sleeping, especially the week before your period? Breast tenderness before your period? Headaches or migraines that come before your period? Spotting before your period starts? Trouble falling or staying asleep mid-cycle or before your period? You feel sad, withdrawn, or introspective in the luteal phase? History of miscarriage or difficulty staying pregnant? Light periods or short duration of bleeding? Bloating or water retention mid- or late-cycle? Part D Heavy periods (you need to change pads or tampons every 1–2 hours)? Cramps that need Advil or heat packs? Swollen, painful, or lumpy breasts mid- or late-cycle? Bloating that makes clothes feel tight before your period? You gain water weight the week before your period? You feel irritable, weepy, or emotionally overwhelmed? Your mood shifts dramatically pre-period (crying, snapping, rage)? You have a diagnosed fibroid, endometriosis, or ovarian cyst? You experience pelvic pressure or heaviness around your cycle? You have dark, clotted, or stringy menstrual blood? You feel nauseated or have digestive upset with your period? You’ve been told you’re estrogen dominant or have high estrogen? You have trouble losing weight, especially in hips or thighs? You feel foggy or overwhelmed by simple tasks pre-period? You’re easily overstimulated by light, sound, or people? Part E Vaginal dryness or pain with intercourse? You have little or no interest in sex? Frequent urinary tract infections (UTIs) or bladder issues? You feel withdrawn, flat, or emotionally disconnected? You experience night sweats or trouble regulating body temperature? Your hair feels thin, dry, or brittle lately? Your skin feels dry, dull, or less elastic than before? You experience joint pain or stiffness with no clear cause? You feel more tired or drained after light activity or walking? Trouble focusing, remembering, or mental “fuzziness”? You feel depressed, hopeless, or lacking joy? You often feel fragile or easily hurt emotionally? You have a hard time recovering after exercise? You have dry eyes or need more eye drops than before? Hot flashes or warm flushes, especially at night? Insomnia or disrupted sleep for no clear reason? Decreased confidence or disconnection from your body? Menstrual cycles that have become irregular or skipped? Part F You feel wired but tired, especially at night? Your mind races even when your body is exhausted? You find it hard to fall asleep or wake at 2–4 a.m. wide awake? You’re irritable, snappy, or overwhelmed by small things? You crave sugar, salt, carbs, or caffeine just to function? Your energy crashes mid-day or early evening? You experience dizziness when standing or changing positions? You feel anxiety, panic, or “on edge” without reason? You are stuck in fight or flight mode? You often get sick or feel run-down after stress? Your blood pressure or blood sugar fluctuates often? You’ve been told you have adrenal fatigue or burnout? You feel emotionally numb or disconnected? You feel like your nervous system is fried or sensitive? Part G You’re gaining weight or can’t lose weight despite clean eating? You’ve gained weight around your midsection or upper body? You feel like your body doesn’t respond to exercise anymore? You feel cold often — hands, feet, or overall body temperature? You experience fatigue even after a full night of sleep? Your hair is thinning or falling out? Your skin is dry, flaky, or rough in texture? You have brittle nails or nails that break easily? You feel bloated, constipated, or have sluggish digestion? Your periods are heavy, irregular, or very painful? You have trouble concentrating or experience brain fog? Your mood feels low, depressed, or emotionally flat? You experience puffy face, water retention, or swelling? You feel a lump in your throat or have hoarseness often? You feel more anxious or panicked than usual? Your sex drive is low or completely gone? You have muscle weakness or fatigue after normal tasks? Your eyebrows are thinning, especially on the outer edge? You have dry eyes or sensitivity to light? You have trouble regulating body temperature (cold or hot)? Your cholesterol levels have gone up for no reason? You feel like your metabolism has completely stalled? You wake up feeling just as tired as when you went to bed? You’ve been told your thyroid is “fine” but you feel off? You have trouble losing weight even when eating healthy? You experience slow wound healing or frequent infections? Your voice feels scratchy, weak, or hoarse for no reason? Name: Email: See My Results
