Hormonal Balance Questionnaire (MEN)

Thank you for completing this questionnaire.
It is designed to help identify possible hormonal imbalances based on the symptoms you are currently experiencing.

Your answers will help me better understand your current hormonal patterns and create a more personalized nutrition and lifestyle approach to support your wellbeing.

Before you begin

• Estimated time: 5–10 minutes

• Read each section carefully and select the symptoms that truly apply to you

• Some symptoms may appear more than once — this is intentional, as they may relate to different hormone patterns

• Your results will be reviewed and sent to your email within 24–72 hours

Important

This questionnaire is not a medical diagnosis and does not replace professional medical advice, testing, or treatment.
It is a wellness tool designed to help identify possible areas of hormonal imbalance and guide your next steps.

🙏 Please answer as honestly and thoughtfully as possible. Your responses are essential for creating the most accurate and supportive plan for your health.