Hormone Symptom Quiz | Appleton Acupuncture & Wellness

Dr. Pamela Kososki, L.Ac.

2-Minute Hormone Assessment

Something is off.
Let's find out what.

Most women are told their labs look fine. But fine labs and a struggling body are not the same thing. This quiz identifies the hormone pattern behind your symptoms so you know exactly what you are dealing with.

10 questions

Under 2 minutes

Personalized results

Question 1 of 10

How is your sleep?

Think about the past 30 days overall, not just last night.

I sleep well and wake up restedNever

I wake occasionally but fall back asleep easilySometimes

I wake between 1 and 4 AM regularly and struggle to fall back asleepOften

I barely sleep. Exhausted all day but wired at nightAlways

Question 2 of 10

How would you describe your energy through the day?

Pick the one that fits most days.

Consistent and strong from morning through eveningNever

Good in the morning, slows in the afternoonSometimes

Low most of the day with a burst of energy in the eveningOften

Exhausted all day. I drag myself through everythingAlways

Question 3 of 10

Do you experience hot flashes, night sweats, or sudden heat flooding your body?

Include any sudden warmth, flushing, or sweating that feels out of nowhere.

No, this is not something I experienceNever

Occasionally, usually when stressedSometimes

Several times a week, it is disruptiveOften

Daily. It affects my sleep, work, and clothing choicesAlways

Question 4 of 10

How is your mood and emotional steadiness?

Be honest. This is between you and your results.

Stable. I feel like myself most of the timeNever

Occasional dips but I bounce back quicklySometimes

Irritable, anxious, or tearful more than I want to admitOften

I do not feel like myself. Mood swings or flatness most daysAlways

Question 5 of 10

Is your weight changing in ways you cannot explain or control?

Especially around the midsection, hips, or thighs.

My weight is stable and feels manageableNever

I have gained a little and it is frustrating but not alarmingSometimes

I am gaining despite eating well and staying activeOften

I cannot stop gaining no matter what I do. Nothing is workingAlways

Question 6 of 10

How is your mental sharpness and memory?

Word retrieval, focus, remembering things you used to just know.

Sharp. No significant changesNever

Occasional brain fog, usually when tired or stressedSometimes

Regular brain fog. I lose words, forget things, feel slowerOften

I can barely think straight. It is affecting my work and confidenceAlways

Question 7 of 10

Has your cycle changed, or do you have irregular periods?

If you are postmenopausal or have had a hysterectomy, select the first option.

Regular and predictable, or I am postmenopausalNever

Some variation but mostly predictableSometimes

Irregular, heavier, longer, or skipping monthsOften

Unpredictable and significantly different from how it used to beAlways

Question 8 of 10

How would you describe your stress response?

Not how stressed you are. How your body handles it.

I handle stress well and recover quicklyNever

I manage, but recovery takes longer than it used toSometimes

Small things feel big. I am on edge more than I should beOften

Overwhelmed constantly. My nervous system feels brokenAlways

Question 9 of 10

Are you experiencing joint pain, hair thinning, or skin changes?

These are often dismissed as aging. They are frequently hormone-related.

None of these are issues for meNever

One of these, mildlySometimes

Two or more and they are getting worseOften

All of these. My body feels like it is changing faster than I can keep upAlways

Question 10 of 10

How long have you been feeling this way?

Give yourself credit for how long you have been managing this.

Less than 3 months. This is relatively newRecent

3 to 12 months6 Mo+

1 to 3 years1 Yr+

More than 3 years. I have been managing this for a long time3 Yr+

Almost there

Where should we send your results?

What happens next

Your personalized hormone pattern report is ready. Enter your information and Dr. Pam will personally review your results before your consultation. No spam. No sales calls. Just answers.

Your Pattern

Your results are ready

Symptoms associated with your pattern

Your hormone pattern breakdown

Your Next Step

A free 30-minute consultation
with Dr. Pam. No obligation.

She will review your quiz results before you arrive. You will leave knowing exactly what is driving your symptoms and whether she can help.

Schedule My Free Consultation Or call directly: 920-460-8171

This quiz is an educational tool, not a medical diagnosis. Results are intended to guide a conversation with Dr. Kososki, not replace clinical evaluation.

Something is off.Let's find out what.

Your results are ready

A free 30-minute consultationwith Dr. Pam. No obligation.

Something is off.
Let's find out what.

A free 30-minute consultation
with Dr. Pam. No obligation.