Assessment – menopausewellnessblueprint.com

Email(Required)

Your results will be emailed to you upon completion.

Physical Symptoms Questions(Required)

Evaluate the severity and frequency of your physical symptoms, such as hot flashes, joint pain, and body composition changes. Understanding these can help tailor strategies to enhance your comfort and quality of life during menopause.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I frequently experience hot flashes.
My night sweats are severe.
I often feel overheated or flushed.
These symptoms disrupt my daily activities.
I experience significant joint pain or stiffness.
I frequently experience muscle aches or tension.
I frequently experience headaches.
Physical discomfort limits my mobility or daily functioning.
I have noticed changes in my weight or body composition.
I find weight management difficult at this stage.

Psychological Resilience Questions(Required)

Assess your emotional well-being, mood stability, cognitive clarity, and stress management. Recognising these factors can empower you to build resilience and maintain emotional balance during menopause.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I am emotionally stable.
I frequently experience anxiety or mood swings.
Mood changes affect my daily activities or relationships.
I am more irritable than usual.
I have good memory and concentration.
I experience brain fog or difficulty focusing.
Learning new information or skills is challenging for me.
I manage daily stress effectively.
I feel overwhelmed by life's challenges.
I am resilient during difficult times.

Lifestyle Impact Questions(Required)

Identify how menopause influences your sleep quality, energy levels, exercise routines, and nutritional habits. Addressing these lifestyle aspects can significantly enhance your daily well-being and overall health.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I have good overall sleep quality.
I frequently experience sleep disruptions.
I feel rested upon waking.
Poor sleep significantly affects my daytime functioning or mood.
I have a regular exercise or physical activity routine.
Menopause has affected my ability or motivation to exercise.
My physical endurance has changed over the past few months.
I have balanced dietary habits.
I have noticed changes in my appetite or eating patterns.
Menopause has influenced my food choices or use of supplements.

Hormonal Health – Additional Questions(Required)

Examine the impact of hormonal changes on your reproductive health, libido, sexual well-being, and related physical symptoms. Insight into this area supports informed decisions around hormonal health management.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
My libido has changed since menopause began.
I experience vaginal dryness or discomfort during intimacy.
Menopause has affected my sexual confidence or satisfaction.
Hormonal changes affect my skin and hair.
I experience breast tenderness or noticeable changes in breast tissue.
I have noticed heart palpitations or cardiovascular changes due to menopause.
Hormonal fluctuations strongly impact my health and well-being.

Perimenopause
(Experiencing irregular cycles or early symptoms like mood swings, sleep issues, hot flushes; typically starts mid-to-late 40s.)

Early Postmenopause
(Within 1-5 years after your menstrual cycles have stopped completely; symptoms often intensify during this stage.)

Late Postmenopause
(Cycles ended several years ago; symptoms are stabilising or less frequent, though some lingering effects may remain.)

Unsure
(You're not certain which stage you’re currently in or symptoms feel mixed.)

Social & Emotional Well-being Questions(Required)

Understand how menopause affects your relationships, self-image, and support systems. Strengthening your social and emotional connections can greatly improve your sense of community and personal confidence

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Menopausal symptoms have affected my personal relationships.
I communicate openly about menopause with close others or my partner.
I receive enough emotional support from family or friends during this transition.
Menopause has impacted my self-confidence.
I feel positive about aging and this life stage.
I have a positive body image during menopause.
I have a reliable network for menopausal concerns.
I am comfortable seeking professional help regarding menopausal issues.
I have sought out menopause-specific resources or support groups.
I am informed about menopause and long-term health management.

Personality Questions(Required)

Awareness of these characteristics helps customize strategies that align with your unique personality to navigate menopause more effectively.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I see myself as someone who is outgoing and sociable.
I see myself as someone who is full of energy.
I see myself as someone who is talkative.
I see myself as someone who generates a lot of enthusiasm.
I see myself as someone who is helpful and unselfish with others.
I see myself as someone who is generally trusting.
I see myself as someone who is considerate and kind to almost everyone.
I see myself as someone who forgives others easily.
I see myself as someone who does a thorough job.
I see myself as someone who can be relied upon to follow through on tasks.
I see myself as someone who persists until the task is finished.
I see myself as someone who tends to be well-organized.
I see myself as someone who worries a lot.
I see myself as someone who gets nervous easily.
I see myself as someone who can be tense or high-strung.
I see myself as someone who is easily upset by stressful situations.
I see myself as someone who is curious about many different things.
I see myself as someone who values artistic or aesthetic experiences.
I see myself as someone who has an active imagination.
I see myself as someone who likes to explore new ideas.

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Menopause Wellness Assessment

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