Hormone Assessment

Answer a few questions to evaluate your hormone health and get personalized recommendations.

What You'll Get:

✓
Five-Engine Health Score Comprehensive evaluation across five health dimensions
✓
Personalized Recommendations Tailored treatment options based on your results
✓
Real-Time Insights See your health baseline as you complete the assessment

About 6 minutes to complete

HIPAA-compliant & secure

Question 1

What is your gender? *

FEMALE MALE

Question 2

What is your date of birth? *

Month

Day

Year

Question 3

What is your height and weight? *

Height

ft

in

Weight

lbs

Question 4

Which of the following symptoms of hormonal imbalance are you experiencing? *

Question 5

How would you rate your daily stress levels? *

Low - I rarely feel stressed Moderate - I experience some stress but manage it well High - I frequently feel stressed and overwhelmed Very High - I feel constantly stressed and struggle to cope

Question 6

How would you describe your energy levels throughout the day? *

High and consistent throughout the day Moderate and consistent High in morning, lower in afternoon Good in morning, crash in afternoon Consistently low throughout the day

Question 7

How would you describe your ability to focus and concentrate? *

Excellent - No issues with focus Good - Minor focus issues Moderate - Some difficulty concentrating Poor - Significant focus problems Very Poor - Severe concentration issues

Question 8

How many servings of cruciferous vegetables do you eat per week? *

Question 9

Are you currently taking any medications that could affect hormones? *

None

Birth control pills or hormonal contraceptives

Thyroid medications

Diabetes medications

Corticosteroids or steroids

Antidepressants

Hormone replacement therapy (HRT)

Testosterone therapy

Other medications

Question 10

Do you have a family history of hormonal disorders? *

None known

Diabetes (Type 1 or Type 2)

Thyroid disorders (hypothyroidism, hyperthyroidism)

Polycystic Ovary Syndrome (PCOS)

Early menopause

Infertility issues

Adrenal disorders

Pituitary disorders

Other hormonal disorders

Question 11

Have you had any recent blood tests for hormone levels? *

No recent tests Basic hormone panel Comprehensive hormone panel Specific hormone tests (thyroid, testosterone, etc.) Regular monitoring

Question 12

Which of the following lifestyle factors apply to you? *

Question 13

How would you rate your overall hormonal health? *

Excellent - No hormonal issues Good - Minor hormonal fluctuations Moderate - Some hormonal symptoms Poor - Significant hormonal issues Very Poor - Severe hormonal problems

Question 14

Enhance Results with Visual Analysis (Optional)

Enhance Results with Visual Analysis (Optional) Upload a photo for AI-powered visual health analysis

HIPAA Protected Medical Images

Your medical photos are encrypted, stored securely, and protected under HIPAA. Images are analyzed by AI and immediately encrypted—they are never stored unprotected or shared with third parties.

No problem! You can skip this step and add photos later from your dashboard.

Question 15

Enhance Results with Your Location (Optional)

Enhance Results with Your Location (Optional) Enable precise location for enhanced results

HIPAA Protected

Your location data is protected under HIPAA and used only to provide locally-relevant health insights. We never share your precise location with third parties.

Enable to share your precise location

Question 16

Add lab results (optional)

Add lab results (optional) Optional: attach a lab PDF to enrich your assessment

HIPAA Protected & Encrypted

Your lab results are encrypted with AES-256 and protected under HIPAA. Only authorized healthcare providers can access your data. Your PDF is processed securely and never stored unencrypted.

No problem! You can skip this step and add lab results later from your dashboard.

Create Your Account

We'll personalize your results and send them to you.

First Name *

Last Name *

Email Address *

Phone Number

For appointment scheduling (optional)

I agree to the Terms of Service and Privacy Policy

We'll email you a secure link to access your results anytime — no password needed.

After you submit, you'll see your results immediately.

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