Name Email Phone What are your primary menopause symptoms? (Select all that apply) Hot flashes Night sweats Mood swings or irritability Weight gain Sleep disturbances Joint pain or stiffness None of the above None How often do you experience these symptoms? Daily Several times of a week Once a week Rarely None Have you tried other menopause supplements before? Yes, with good results Yes, with moderate results Yes, but they didn’t work No, I haven’t tried any None How would you rate your current diet in terms of balance and nutrition? Very balanced and healthy Somewhat balanced, but with room for improvement Not very balanced Poor diet, lacking essential nutrients None How important is it for you to use natural or plant-based supplements? Extremely important Somewhat important Neutral Not important None Are you currently taking any other medications or supplements? Yes, multiple Yes, one or two No None How often do you exercise? Daily 3-4 times a week 1-2 times a week Rarely or never None How would you describe your stress levels? Very high Moderate Low Very low None Are you looking for an all-in-one solution to your menopause symptoms? Yes, I want something comprehensive Yes, but I am open to other options as well Yes, but I am open to other options as well No, I am not interested in an all-in-one solution None How much are you willing to spend on a menopause supplement? I am willing to invest in my health regardless of cost I prefer something reasonably priced but effective I am on a budget and need something affordable I am not willing to spend much on supplements None 1 out of 2 Time's up
