Hormone & Perimenopause Questionnaire
Lexi Yoo, FNP-BC, CPNP, IFMCP

What Are Your Hormones Telling You?

A FREE SELF-ASSESSMENT FOR WOMEN IN HORMONAL TRANSITION

If you are exhausted, gaining weight, waking at 2am, losing hair, or simply not feeling like yourself — your hormones may be telling you something your last blood panel missed. This short questionnaire identifies the most common perimenopause hormone patterns. It takes about 3 minutes.

Rate each statement by how often you’ve experienced it in the past 3 months. There are no right or wrong answers — choose what feels most true right now.

RATE EACH: NEVER (0)  ·  RARELY (1)  ·  OFTEN (2)  ·  ALMOST ALWAYS (3)

Educational purposes only · Not medical advice · Not a provider-patient relationship · The Healthy Yoo™