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The content is the opinion of the author, and does not represent the opinion of any other party. See Terms of Use.
The Menopause Type® Questionnaire
The Menopause Type® Questionnaire (MTQ) will show you what type of menopause you have based on mathematical analysis of your symptoms.
There are 50 numbered questions, divided into seven different sections. Within each numbered question there may be one or more questions. Answer yes if you recognize your experience in any part of the question.
The results of this questionnaire are confidential. You are not asked to provide your name, e-mail or other identifying information that will directly associate you to the questionnaire. No personal data is collected.
Please remember that this questionnaire only analyzes your menopause type® based on symptoms. It is not a replacement for a healthcare professional. See Terms of Use.
This questionnaire is also available in the book, Discover Your Menopause Type.
The  Menopause Type® Questionnaire can also be downloaded as a PDF.

Menopause Type® Questionnaire
© 1996-2014 by Dr. Joseph J Collins, RN, ND & Your Hormones, Inc.  All rights reserved.
Menopause Type® is a Registered Trademark.
Download Menopause Type® Questionnaire trifold brochure

Section A  
(1) Are you having hot flushes or night sweats, or both? Yes No
(2) Are you feeling more depressed? Are you more withdrawn or isolated? Do you feel periods of hopelessness? Do you feel apathetic? Yes No
(3) Do you feel a loss of energy? Do you feel more fatigued? Yes No
(4) Do you feel less receptive to sex? Do you feel less sensual? Do you feel that your sex drive is diminished? Yes No
(5) Are you having increased vaginal pain, dryness or itching? Yes No
(6) Are you experiencing insomnia, difficulty falling to sleep, or difficulty staying asleep? Yes No
(7) Are you having trouble with your memory? Do you feel like you are having more trouble remembering names? Are you more forgetful? Yes No
(8) Is your mood low, less upbeat, less positive or less outgoing? Are you having less "good moods" and times of joy? Do you find yourself caring less about things that used to matter to you? Yes No
(9) Are you having trouble controlling your urine? Do you have to go more often? Do you spill urine when you cough or sneeze? Yes No
(10) Do you feel as if your perception is weakening, that it takes you longer to notice things? Are you having trouble thinking of the right word when speaking or writing? Do you feel your mental skills are diminishing. Yes No
Section B  
(1) Are you having more aches and pain? Are you starting to get arthritis? Yes No
(2) Are you having more spotting or break-through bleeding? Have you been told you have Dysfunctional Uterine Bleeding? Yes No
(3) Do you seem to be getting more inflammations and swellings? Yes No
(4) Are your allergies or asthma getting worse, or are you developing new allergies or asthma? Yes No
(5) Do you feel like you are having more twitches and spasms? Yes No
(6) Are you experiencing times of mental fogginess, or trouble thinking clearly? Yes No
(7) Are you having more mood swings? Yes No
(8) Do you feel more fatigued? Are you more tired in the morning? Yes No
(9) Are you more irritable? Do you have more nervous tension? Yes No
(10) Are you experiencing more anxiety? Do you feel more anxious? Yes No

Section C

 

(1) Do you feel less motivated in general? Do you feel less assertive?

Yes No

(2) Is your libido lessened? Are you having less sexual fantasies or less desire? Are you less likely to become sexually aroused? Are you less pleased with sex?

Yes No

(3) Are you feeling less composed and in control?

Yes No

(4) Are you less energetic?

Yes No

(5) Are you anemic, or think you are anemic?

Yes No

(6) Are you feeling more irritable?

Yes No

(7) Do you have less muscle strength? Do you feel weaker?

Yes No

(8) Are you having more trouble with mental skills requiring logic and problem solving? Are you having trouble focusing and maintaining your attention?

Yes No

(9) Is your memory weakening? Are you having more trouble remembering things and events?

Yes No

(10) Do you feel more depressed? Is your mood low, less confident? Are you feeling frightened or afraid?

Yes No

Section D

 

(1) Are you noticing more wrinkles around your mouth and eyes? Is the skin tone on you arms, legs, or hands poor? Has the skin lost its firmness or fullness?

Yes No

(2) Do you feel more depressed?

Yes No

(3) Do you feel more fatigue in general?

Yes No

(4) Are you having more headaches?

Yes No

(5) Are you over 45 years old?

Yes No

Section E

 

(1) Does it seem as though your breast are shrinking and sagging?

Yes No

(2) Are you experiencing more confusion?

Yes No

(3) Are you experiencing more morning fatigue?

Yes No

(4) Do you cry more easily, or more often?

Yes No

(5) Are your hands or feet colder?

Yes No

Section F

 

(1) Is your libido less than it used to be?

Yes No

(2) Is your pubic hair thinning?

Yes No

(3) Do you feel less motivated, less assertive, less confident? Have you lost your competitive edge?

Yes No

(4) Are you gaining more body fat? Do you feel less lean?

Yes No

(5) Are you having more lower back pain or hip pain? Do you feel more joint pain? Are you having more headaches?

Yes No

Section G

 

(1) Are you developing more facial hair (hirsutism)?

Yes No

(2) Is your voice changing and becoming deeper or more masculine?

Yes No

(3) Are you having trouble tolerating sugars and carbohydrates?

Yes No

(4) Are you developing or having increased acne?

Yes No

(5) Do you feel more hostile, angry, agitated or aggressive?

Yes No

Your have completed the questionnaire.
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