It is intended to help you begin understanding your key hormones, whether they are balanced and the role they play in your health.
The BePure Hormone Health Questionnaire will give you a personal snapshot of four key hormones oestrogen, progesterone, androgens and cortisol.
The questionnaire should take no longer than 5 – 10 minutes to complete, but please take all the time you need. All information provided is held in strict confidence.
Please note that this is a subjective questionnaire, however it is a great place to start when seeking to identify key hormones that may be imbalanced and require attention.
If you have any questions please contact us on 0800 52 54 52 or firstname.lastname@example.org
Use the below guide to answer each question on your hormone health in the questionnaire.
You have never experienced the symptom or the symptom is familiar to you, but you perceive it as insignificant (monthly or less).
The symptom comes and goes and in your mind, is linked to stress, diet, fatigue. Or some un-identifiable trigger, or it has only occurred to a small degree.
Symptom occurs regularly and/or with a frequency that bothers you enough that you would like to do something about it.
You are aware of the symptom every day, or it occurs with regularity on a monthly or cyclical basis.
This suggests that you have relatively balanced levels of this hormone, which is great! Learning about the signs and symptoms of imbalance of this hormone, while nourishing your body with nutrition and implementing a nurturing lifestyle, will help to ensure this does not become an issue for you in the future.
This suggests your body is showing moderate signs of imbalance of this hormone. It is recommended you take adequate action around diet, lifestyle and exercise to restore optimal hormonal balance.
This suggests your body is showing significant signs of imbalance with this hormone. It is recommended you take time to learn about this hormone imabalance in depth. Implementing a nourishing diet, undergoing testing, nutritional support and lifestyle management strategies to begin recovery and healing should be a priority for you. Also remember that this is a subjective questionnaire, however if you would like to take further action to confirm these concerns it is recommended you learn more about further hormone testing options.
In health and happiness,
Ben and the BePure Team
This questionnaire has been developed by the BePure nutritional team as a tool to raise general health awareness, and is not designed to diagnose or treat health concerns.
By completing the BePure Health Questionnaire you agree to receive further communications from BePure.
© BePure, 2017. Except as provided by the Copyright Act, no part of this document may be reproduced in any form without the prior written permission of BePure Health Limited.
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