Progesterone deficiency questionnaire

Thank You...

...for giving me the opportunity to stay in touch with you. I'll be sending you a few messages in the month ahead giving you further insights into what other people have been through and how they may have benefitted from progesterone therapy.

Before we start...

  • Please click the check boxes in the form below for each and every symptom or condition that applies to you. So, for example, if you suffer from "pre-menstrual backache" then click in the check box immediately to the left

  • Leave any check box unchecked if it does not apply to you

  • If you don't know or are unsure of the answer (for example, you may be unsure if you suffer from "agoraphobia") then leave the check box unchecked

  • Men please note that although many of the questions relate exclusively to women this questionnaire is equally relevant to you. Progesterone is vital to the health of everyone regardless of sex or age

Once you've completed it just click on the "Submit for Immediate Results" button that you'll find at the end of this page and you'll be taken immediately to a "results" page which will give you answers, advice and recommendations. No waiting, no worrying.

The "Results" page will show a single figure. This is calculated by a complex algorithm based upon a "weighting" of the questions' relative values.

So... don't be surprised if you have checked only 2 boxes and find your "score" is 11, or that you've checked say 19 boxes and have a "score" of only 28.

Remember, there are no "right" or "wrong" answers. The results simply profile the relative probability of you having a progesterone deficiency.

Your "score" will reveal which of 3 categories you fall under...
  • strong probability
  • probability
  • improbability

...of having a progesterone deficiency.

What then? Well, as you'll see this is the first and most important step in getting back to good health through hormone balance.

To your very good health,

sig

Now, lets start...

Progesterone deficiency Questionnaire

Check each box that applies to you

1. internally anxious outwardly calm
2. premenstrual backache
3. frequent complaining
4. endless crying
5. breast and/or ovarian cysts
6. defective luteal phase
7. fibroids
8. excessive facial hair on women
9. excessive body hair on women
10. infanticidal fears
11. feelings of loneliness
12. maltreatment of new born baby, harmful, violent thoughts
13. absense of maternal instinct and behaviour
14. nausea during pregnancy
15. night sweats
16. PCO (poly cystic ovarian disease)
17. pre-eclampsia
18. rejection of baby
19. feelings of resentment
20. early ageing of skin
21. feelings of uselessness
22. vaginal thinning, dryness and itching
23. miscarriage
24. temporary psychosis
25. breast tenderness and/or mastitis
26. premenstrual breast tenderness
27. follicular keratoses ?goose bumps? on backs of arms and legs
28. hot flashes/flushes
29. erratic menstrual cycle
30. excessive menstrual flow
31. lack of menstrual periods
32. depression after childbirth
33. depression during peri-menopause/menopause
34. irregular menstrual flow
35. period pains and/or ovulation cramps
36. easily upset, quick to cry
37. depression
38. panic attacks or panicky feelings
39. sense of confusion
40. feelings of unreality
41. exhaustion
42. feelings of guilt
43. hair pulling
44. hallucinations
45. histrionic behaviour
46. infertility/difficulty in falling pregnant
47. feelings of insecurity
48. internally upset by criticism
49. suicidal thoughts or attempts
50. binges
51. hair loss from head (women)
52. lack of self confidence and esteem
53. SAD (seasonal effective disorder)
54. sleep disturbances
55. stress upsets emotional balance
56. irrational fears
57. flaking, brittle and weak nails
58. water retention
59. feelings of anger
60. mood swings
61. anxiety
62. abdominal bloating
63. agitation
64. agoraphobia
65. blood clots
66. brown patches on cheeks
67. bruising and capillary breakage
68. chronic fatigue
69. claustrophobia
70. lethargy
71. rage
72. self mutilation
73. verbal and physical violence
74. dark rings under the eyes
75. eat or drink to alleviate depression
76. difficulty in getting up after enough sleep
77. dizziness
78. tired all the time
79. frequent or regular migraines
80. feelings of tension
81. cravings for sweet foods
82. procrastination
83. asthma
84. loss of libido
85. short term memory loss
86. clumsiness
87. acne
88. insomnia
89. nervousnous
90. palpitations
91. inability to concentrate
92. hypoglycaemia
93. manic behaviour
94. obsessions without compulsions
95. cracked heels
96. endometriosis
97. low libido
98. osteoporosis
99. paranoia
100. prostate problems
101. spaced out
102. weight gain at puberty/childbirth/menopause
103. feelings of aggression
104. quick reaction or over-reaction to alcohol
105. forget what you're about to say
106. fuzzy brain
107. alcohol abuse
108. cold hands and feet
109. quick tempered
110. frequent or regular headaches
111. irritability
112. dry skin
113. incontinence
114. personality changes
115. regular epileptic fits
116. psoriasis
117. shaking or trembling
118. itching skin
119. varicose veins
120. low blood pressure
121. constipation
122. allergies or sensitivities to foods or chemicals
123. brown spots on backs of hands
124. fainting spells
125. burning eyes
126. misty vision
127. painful eyes