Progesterone deficiency questionnaire

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 enter your email address in the field provided at the end of this page and click on the "Submit for Immediate Results" button. 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