Tell us about your journey
Duration: 4 minutes
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Name
(Required)
First name
Last name
Age
(Required)
Email address
(Required)
Phone number
Where are you in your menopause journey?
(Required)
Our non-invasive hormone tracking device can assist at various stages. (Select one)
Premenopausal (Regular periods 21-35 days apart, no menopausal symptoms)
Early perimenopause (Changes in period frequency >7 days, occasional symptoms such as hot flashes/night sweats)
Late perimenopause (Periods 60+ days apart, frequent symptoms)
Early post-menopause (within 5 years of last period)
Late post-menopause (more than 5 years since last period)
Surgical/medical menopause
Unsure, but experiencing some menopause symptoms
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Where are you in your menopause journey?
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What was the most pressing challenge you faced in managing menopause symptoms that you believe should have a clear solution?
On a scale of 1 to 5, how urgent has it been for you to find a solution to this challenge?
(Required)
Not urgent at all
Not really Urgent
Somewhat Urgent
Urgent
Extremely Urgent
Which symptoms are you currently experiencing?
(Required)
(Select all that apply)
Hot flashes/night sweats
Sleep disturbances
Mood changes
Vaginal dryness
Weight changes
Joint pain
Brain fog
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Which symptoms are you currently experiencing?
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What are your biggest challenges or frustrations with managing menopausal symptoms?
(Required)
(Select all that apply)
Unpredictable hot flashes or night sweats
Mood swings or emotional changes
Sleep disturbances
Changes in libido or sexual function
Bone health and osteoporosis risk
Cardiovascular health
Weight changes or metabolic shifts
Cognitive changes (“brain fog”)
None of the above
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What are your biggest challenges or frustrations with managing menopausal symptoms?
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What products or solutions have you explored to manage menopause symptoms?
(Required)
(Select all that apply)
Hormone Replacement Therapy (HRT)
Over-the-counter supplements
Prescription medications (non-HRT)
Lifestyle changes (e.g., diet, exercise)
Alternative therapies (e.g., acupuncture, herbal remedies)
Wearable devices for symptom tracking
Hormone level tracking
Symptom prediction
Treatment timing optimization
Provider communication portal
Lifestyle recommendation engine
Community support features
Emergency alert system
Medication reminder system
None of the above
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What products or solutions have you explored to manage menopause symptoms?
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Based on your experience, what features or improvements would make these more effective or easier to use?
(Required)
(Select up to two)
Predictive insights on symptom occurrence
Real-time health data that supports lifestyle choices
Personalized symptom management recommendations
Easy integration with my current health routine
Connection with a healthcare provider through data sharing
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Based on your experience, what features or improvements would make these more effective or easier to use?
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How have your menopause symptoms most impacted your daily life and well-being?
(Required)
Significantly disrupted my work or career
Affected my relationships or social interactions
Made daily activities more difficult or less enjoyable
Had no significant impact on my daily life
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How have your menopause symptoms most impacted your daily life and well-being?
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Initial device purchase
(Required)
For a fertility solution that helps you navigate your journey with personalized insights and empowers you to take control of your reproductive health, what would you be willing to pay for a initial device purchase:
Less than $50
$50 - $100
$100 - $150
$150 - $250
More than $250
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Initial device purchase
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Monthly subscription
(Required)
For a fertility solution that helps you navigate your journey with personalized insights and empowers you to take control of your reproductive health, what would you be willing to pay for a monthly subscription:
Less than $50
$50 - $100
$100 - $150
$150 - $250
More than $250
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Monthly subscription
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Replacement supplies
(Required)
For a fertility solution that helps you navigate your journey with personalized insights and empowers you to take control of your reproductive health, what would you be willing to pay for replacement supplies:
Less than $50
$50 - $100
$100 - $150
$150 - $250
More than $250
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Replacement supplies
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What is your annual household income?
(Required)
Less than $25,000
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 - $250,000
$250,000-$500,000
$500,000 or above
Prefer not to say
Have you had a hysterectomy or oophorectomy?
(Required)
Yes, I have had a hysterectomy
Yes, I have had an oophorectomy
Yes, I have had both a hysterectomy and an oophorectomy
No, I have not had either
Prefer not to answer
Are you currently under the care of a healthcare provider for menopause?
(Required)
Yes, regularly
Yes, occasionally
No, but I have been in the past
No, never
Prefer not to answer
Do you have any conditions or risk factors that affect hormone therapy options?
(Required)
Yes, I have a condition that affects hormone therapy options
No, I do not have a condition that affects hormone therapy options
I am unsure
Prefer not to answer
If there was a non-invasive wearable device that you could use to monitor your hormone levels through sweat on your skin to monitor changes in your body related to menopause, how often would you use it?
(Required)
Continuously
Daily
Weekly
Monthly
Only during intense symptom periods
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If there was a non-invasive wearable device that you could use to monitor your hormone levels through sweat on your skin to monitor changes in your body related to menopause, how often would you use it?
Tell us in your own words
If you had access to continuous, personalized data on your body’s hormonal changes during menopause, how would you use it?
(Required)
(Select all that apply)
To identify and manage symptoms more effectively
To make lifestyle adjustments based on health trends
To share with a healthcare provider for better support
For peace of mind and understanding of my body
Tell us in your own words (on next page)
If you had access to continuous, personalized data on your body’s hormonal changes during menopause, how would you use it?
Tell us in your own words
When you think about managing menopause in a way that feels truly ideal for you, what changes, tools, or support would make the experience as seamless and manageable as possible in your daily life?
Is there anything else you would like to share about your experience with current menopause symptom management solutions on the market?
I’m open to having a conversation with a company representative to share my thoughts and contribute to shaping the future of women’s health.
(Required)
Please select one.
Yes
No
Phone
This field is for validation purposes and should be left unchanged.
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