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The Menopause Made Simple Support Assessment

Menopause can affect every woman differently. For some, symptoms are mild and manageable. For others, they can impact sleep, energy, mood, relationships, work performance, and overall quality of life.

This assessment is designed to help identify how menopause may be affecting you, assess your current level of understanding and support, and determine whether additional education, resources, or guidance may be beneficial.

The assessment takes approximately 3 to 5 minutes to complete.

Once finished, you'll have the opportunity to schedule a complimentary consultation call with Tafiq Akhir, aka Mr. Menopause, to discuss your situation, explore your options, and identify potential next steps.

Click the button below to start.

Start

Question 1 of 18

1. How confident are you in your understanding of menopause and perimenopause?

A

Very confident

B

Somewhat confident

C

Not very confident

D

Completely overwhelmed

Question 2 of 18

2. Have you ever received formal menopause education from a healthcare professional, educator, workshop, book, course, or training program?

A

Yes, extensive education

B

Some education

C

Very little education

D

None

Question 3 of 18

3. Do you know which stage of menopause you are currently in?

A

Perimenopause

B

Menopause

C

Postmenopause

D

Not sure

Question 4 of 18

4. How often do you find yourself wondering whether a symptom you're experiencing could be related to menopause?

A

Never

B

Occasionally

C

Frequently

D

Almost daily

Question 5 of 18

5. How many of the following physical symptoms are you currently experiencing?

 

        Hot Flashes, Night Sweats, Irregular Periods, Heavy Bleeding, Light or Skipped Periods, Vaginal Dryness, Painful Intercourse, Loss of Libido, Weight Gain, Breast Tenderness, Headaches or Migraines, Sleep Disturbances, Fatigue, Dizziness, Heart Palpitations, Digestive Issues, Bloating, Nausea, Changes in Body Odor, Dry Skin, Itchy Skin, Brittle Nails, Thinning Hair, Facial Hair Growth, Gum Problems, Burning Mouth Syndrome, Dry Eyes, Changes in Vision, Tinnitus, Muscle Tension, Joint Pain, Muscle Aches, Osteoporosis Risk, Electric Shock Sensations, Tingling in Extremities, Restless Leg Syndrome, Incontinence, Frequent Urination, Urinary Tract Infections, Voice Changes, New or Worsening Allergies, Cold Flashes, Pelvic Organ Prolapse, Bleeding Gums, Metallic Taste in Mouth, Frozen Shoulder, Weak or Brittle Bones, Changes in Menstrual Clots, Formication, Hypersensitivity to Touch, Clumsiness or Poor Coordination, Acne.

 

 

A

None

B

1 to 5

C

6 to 10

D

11 to 20

E

More than 20

Question 6 of 18

6. How many of the following cognitive symptoms are you currently experiencing?

 

         Memory Problems, Difficulty Concentrating, Word Finding Difficulties, Brain Fog, Slowed Processing Speed, Difficulty Making Decisions, Difficulty Solving Problems, Disorientation or Confusion, Difficulty Learning New Information, Difficulty Multitasking, Short Attention Span, Mental Disorganization.

A

None

B

1 to 2

C

3 to 4

D

5 to 7

E

More than 7

Question 7 of 18

7. How many of the following emotional symptoms are you currently experiencing?

 

         Anxiety, Increased Worry, Irritability, Mood Swings, Depression, Sadness, Feeling Overwhelmed, Loss of Motivation, Low Self Confidence, Reduced Stress Tolerance, Panic Attacks, Emotional Sensitivity, Social Withdrawal, Loss of Enjoyment, Feeling Like You're Not Yourself.

 

A

None

B

1 to 3

C

4 to 6

D

7 to 10

E

More than 10

Question 8 of 18

8. How much are these symptoms affecting your quality of life?

 

A

Not at all

B

Mildly

C

Moderately

D

Significantly

E

Severely

Question 9 of 18

9. Have you discussed menopause with a healthcare provider?

A

Yes

B

No

Question 10 of 18

10. How satisfied were you with the support or answers you received?

A

Very satisfied

B

Somewhat satisfied

C

Not satisfied

D

I felt dismissed

E

Not applicable

Question 11 of 18

11. Do you currently have a healthcare provider you trust for menopause related concerns?

A

Yes

B

No

C

Not sure

Question 12 of 18

12. How well do you understand the treatment and support options available for menopause?

A

Very well

B

Somewhat well

C

Not very well

D

I have no idea where to start

Question 13 of 18

13. How successful have your current strategies been in managing your symptoms?

A

Very successful

B

Somewhat successful

C

Minimal improvement

D

No improvement

E

I have not tried anything yet

Question 14 of 18

14. How motivated are you to improve your menopause experience?

A

Extremely motivated

B

Moderately motivated

C

Slightly motivated

D

Not currently motivated

Question 15 of 18

15. How willing are you to make changes that may improve your symptoms and overall wellbeing?

A

Very willing

B

Somewhat willing

C

Unsure

D

Not willing

Question 16 of 18

16. What is your primary goal right now?

A

Better symptom management

B

Better sleep

C

More energy

D

Weight management

E

Hormone education

F

Healthy aging

G

Sexual health support

H

Workplace support

I

Improved confidence and wellbeing

J

New Choice

Question 17 of 18

17. What is your biggest menopause related frustration right now?

Question 18 of 18

18. Would you like personalized guidance on the type of menopause support that may be the best fit for your needs?

A

Yes

B

No

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