Natural Hormone Institue Quiz


Personal Information
Symptoms
Symptoms of Sex Hormone Imbalance:
Mood swings
Hot flashes
Night sweats
Fatigue
Headaches
Depressed
Irritable
Tearful
Memory lapse
Weight gain
Premature aging
Vaginal dryness
Heavy menses
Bleeding changes
Incontinence
Fibrocystic breast
Decreased sex drive
Tender breast
Osteoporosis
 
Symptoms of Stress Hormone Imbalance:
Fatigue
Anxious
Nervous
Constantly feeling stressed
Tired but wired
Sensitive to noise
Sensitive to fragrance
Asthma
Susceptible to illness
Food cravings
Weight gain
Headaches
Rapid aging
Irritability
Aches & Pains
Bone loss
Sleep disturbances
 
Symptoms of Thyroid Imbalance:
Weight gain
Inability to lose weight
Tender Breasts
Thinning skin
Dry and/or brittle hair
Hoarseness
Low libido
Swelling and/or puffy eyes
Cold all the time
Decreased stamina
Hearing loss
Water retention
Symptoms
Symptoms of Sex Hormone Imbalance:
Burned out feeling
Decreased mental clarity
Decreased stamina
Decreased flexibility
Decreased urine flow
Increased urinary urge
 Erectile dysfunction
Decreased muscle mass, tone & size?
Joint pains
Depression
Hot flashes
Night sweats
 Poor concentration
Decreased sex drive
Increased forgetfulness
Prostate problems
 
Symptoms of Stress Hormone Imbalance:
Burned out feeling
Anxiety
Irritability
Edginess
Nervous
Headaches
 Sensitivity to chemicals
Food cravings
Abdominal weight gain
Evening fatigue
Morning fatigue
Allergies
 Rapid aging
Bone loss
Apathy
Difficulty sleeping (sleep disturbances)
Mental fatigue
Low energy
 
Thyroid imbalance symptoms:
Weight gain
Inability to lose weight
Swelling or puffy eyes or face
Thinning skin or hair
Hearing loss
Slow pulse rate
 Decreased sweating
Constipation
Hoarseness
Cold hands or feet
Feeling cold all the time
Numbness in hands or feet
 Dry & Brittle hair or skin
Aches and pains
Decreased sex drive
Depression
Low energy
Stress Review this chart and check all the list of events that have happened to you within the last twelve months. Each event has been assigned a Life Change Unit.

Death of spouse
Divorce
Marital Separation
Death of a close family member
Personal injury or illness
Marriage
Being Fired from work
Reconciliation with spouse
Retirement
Change in health of family member
Illness or change in care needs of a parent
Sexual difficulties
Addition of family member
Major business readjustment
Major change in financial state
Death of a close friend
Changing to a different line of work
Change in frequency of arguments with spouse
New loan for major purchase over $ 15,000
Foreclosure on a mortgage or loan
Major change in responsibilities at work
Children leaving home
Trouble with difficult teenagers
Outstanding personal achievement
Spouse begins or stops work
Starting or ending school
Change in living conditions
Revision of personal habits (dress, manners, associations)
Trouble with boss
Change in work hours, conditions
Change in residence
Change in school
Change in recreational activities
Change in church activities
Change in social activities
Mortgage or loan under $15,000
Change in sleeping habits
Change in number of family gatherings
Change in eating habits
Vacation
Christmas
Minor violation of the law
Sleep






Environment