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Perimenopause Assessment Quiz
Menopuase Survival kit including month's supply of black cohosh supplementSign up for the MenopauseRx Menopause and Perimenopause Survival Kit to receive free educational materials and coupons for products to relieve menopause symptoms including a full sized sample of a Remifemin® black cohosh supplement.

Find out if you are experiencing Perimenopause. Take our Perimenopause quiz.


MenopauseRx understands that no two women experience the same perimenopause and menopause transition. For this reason, we have developed a free detailed “Perimenopause and Menopause Assessment Quiz”

By participating in this quiz, you will be able to learn about symptoms that are relevant to you and a variety of treatment options that are available.

Included with each personalized assessment is a checklist of preventative tests and screening tools. Please discuss these with your health care provider.

Rest assurred, no record is kept to identify individual responses while using this quiz.
 
 
Perimenopause and Menopause Assessment Quiz:
 
Over the last three months:
Are your periods regular?
Yes No
If you have had a hysterectomy, were your ovaries removed?
What is your age?
When do your symptoms most commonly occur?
Do you have hot flashes?
Do you have night sweats?
Do you have difficulty concentrating?
Yes No
Do you have a lack of desire to engage in sexual activity?
Yes No
Are you having sexual intercourse less frequently than you would like?
Yes No
Do you have difficulty remembering things?
Yes No
Do you feel unhappy and/or sad?
Yes No
Do you have vaginal dryness?
Yes No
Do you feel anxious?
Yes No
Do you tire more easily, even with enough sleep?
Yes No
Do you find you don’t sleep quite as soundly or require more sleep?
Yes No
Are you breasts much more tender or lumpy before your period?
Yes No
Do you feel angry?
Yes No
Do you feel angry more often than not?
Yes No
Have you been treated for PMS symptoms currently, or in the past?
Yes No