Thank you so much for taking the time to complete this questionnaire for me, I truly appreciate it.

All information gathered here is totally confidential and will not be shared with anyone else.

What is your age? *
Would you consider yourself *
Do you experience any of the following symptoms :
Please tick all that apply.
Do you use any of the following natural remedies
Do/did you work with any healers, therapists, doctors, coaches, or naturopaths regarding these symptoms?
e.g. what kind of practitioner do you work with and how regularly do you see them?
If no, would you consider it?
(and do you feel this is hormone related?)