How long has it been since your last menstrual bleed? *

I still have regular cycles

My cycles are either irregular / lighter or heavier / sometimes skipping months

It’s been 12 months or longer since my last period

It’s been several years since my last period

When you do bleed, how would you describe your periods?

Regular/Same as always

Heavier tha before/flooding

Lighter than before / barely there

I no longer bleed

Are you experiencing Hot flushes / night sweats *

Not at all

Occasionally

Regularly, manageable

Frequent/disruptive

Which best describes your sleep lately? *

I sleep soundly through the night

I wake up occasionally but fall back asleep easily

I wake up often (hot sweats, restless mind, tossing and turning)

I barely sleep through the night anymore

How often do you experience any of these symptoms: joint pain, low energy, low mood/depression, painful sex, or lack of interest in sex? *

Rarely or never

Occasionally

Quite often

Most days

Do you notice your moods shift suddenly, sometimes without clear reason? *

Rarely

Sometimes

Often

Daily and it feels overwhelming

Do you feel a sense that your old identity no longer fits, as if parts of you are breaking apart? *

No, I still feel like myself/ or the new me

Occasionally, in small ways

Yes, it feels unsettling

Strongly yes, I feel like I don’t know who I am anymore

Do you feel emotionally raw or hypersensitive, like your skin is thinner than usual? *

I feel emotionally steady

I get teary or reactive more easily than before

I often feel exposed, overly sensitive, or easily hurt

I feel like everything pierces me right now

Do you feel like your nervous system is on edge (wired/tired, anxious, jittery)? *

I feel calm and grounded

Occasionally I feel a bit on edge

I often feel restless, anxious, or wound up

I constantly feel overstimulated or like I can’t calm down

Do you feel like your old coping strategies or ways of managing life no longer work *

My usual (or new) strategies work well

Sometimes they don’t work as well as they used to

I’m often frustrated that what used to help no longer does

Nothing seems to work anymore — I feel lost or untethered

Do you feel bursts of irritation, frustration, or even rage that surprise you? *

Not at all

Occasionally

Quite often

Very strongly and it’s hard to control

Do you notice physical heat or inflammation in your body (aches, hot skin, flushing, bloating)? *

Not at all

Mildly

Frequently

It feels like my body is burning up

Do you feel restless or easily overstimulated, like you can’t settle? *

I feel calm and focused

Sometimes I find it hard to sit still

I often feel restless or scattered

I feel like I’m buzzing and can’t calm my body or mind

Do you often feel “done” with things that used to matter to you? *

I still enjoy most of the same things

A few things don’t interest me like they used to

I’ve lost interest in many things I used to care about

I feel like I want to burn down my old life and start fresh

Do you feel like your energy comes in sudden surges and then crashes? *

My energy stays fairly consistent

Sometimes I get short bursts of energy

I often have highs and lows in energy

I swing between feeling unstoppable and completely drained

Do you feel waves of grief, sadness, or loss during this phase of life? *

Rarely

Sometimes

Quite often

Deeply and regularly

How often do you feel the need to withdraw from people, work, or responsibilities? *

Almost never

Sometimes, I need a little space

Quite often, I need to retreat

Daily, I just want to shut everything out

Do you feel like you’re in a ‘waiting room of life’—a pause, where nothing feels clear? *

Not at all

Occasionally

Yes, that’s how it feels right now

Very strongly, I feel suspended in a void

Do you feel flat, unmotivated, or emotionally numb? *

I feel motivated and emotionally engaged

I sometimes lose interest or go flat

I often feel emotionally distant or flat

I feel like nothing sparks joy or energy in me right now

Do you feel like everything has stopped and you can’t seem to restart? *

No, I feel like I’m in motion

Occasionally I stall but get moving again

I often feel stuck or unable to get going

I feel frozen and disconnected from momentum

Do you feel clarity emerging—as if pieces of your new self are starting to fit together? *

Not yet

Occasionally glimpses

Yes, I feel it building

Strongly yes, I feel more myself than ever

Do you feel more connected to your inner wisdom, or a desire to share what you’ve learned with others? *

Not really

A little

Yes, it’s becoming clear

Absolutely, I feel called to guide others

Do you feel more like yourself again — but a new, changed version? *

Not at all

Occasionally

Yes, I notice this often

Strongly yes — I feel like the new me is here

Do you feel more grounded and stable emotionally than you did before? *

Not yet

A little

Yes, I feel steadier

Absolutely — I feel rooted in myself again

Do you notice you are choosing from self-trust and inner knowing rather than fear or obligation? *

Not often

Sometimes

Yes, this is happening more

Absolutely — I trust myself deeply now

Do you feel a renewed sense of energy, motivation, or a desire to take action again? *

Not at all — I still feel drained or flat

Occasionally, in small bursts

Yes, fairly often, I feel my energy coming back

Absolutely, I feel motivated and ready to move forward

Do you feel an excitement or pull toward creating, building, or stepping into a new chapter of life? *

Not at all — I don’t feel that yet

Occasionally, I get glimpses of it

Yes, I feel this fairly often

Strongly yes — I feel a clear pull toward my next chapter

Do you feel pulled to contribute, share your gifts, or make an impact again? *

Not right now

Occasionally

Yes, fairly often

Absolutely — I feel ready to show up again

Do you feel a sense of hope or possibility about the future? *

Not at all

Occasionally

Yes, often

Absolutely — I feel hopeful and excited

Do you feel ready to be seen and celebrated as the woman you’ve become? *

Not at all

Occasionally

Yes, often

Absolutely — I feel ready to shine