T.I.E.S Survey

For each question, rate your experience on a scale from “Not at all” to “More than half the time”, reflecting on your emotional and mental state.

Disclaimer: This quiz is for informational purposes only and is not intended to diagnose or treat any medical condition. It does not replace professional medical advice, diagnosis, or treatment. Always consult your physician or other qualified health provider with any health-related questions or concerns.

Takes 1 minute

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First Name*

Email*

T.I.E.S.

How often do you experience THINKING/COGNITIVE issues?*

(Forgetfulness, focusing, problems with organization, problems with time management, memory issues)

More than half of the time

About half of the time

Less than half of the time

Rarely

Not At All

T.I.E.S

How often do you experience IDENTITY issues?*

(Losing sense of self, not knowing who you are, physical changes impact self worth (eg. hair, skin, muscle, fat, joint mobility, pelvic changes)

More than half of the time

About half of the time

Less than half of the time

Rarely

Not At All

T.I.E.S.

How often do you experience EMOTIONAL issues?*

(Sadness, depression, anxiety, excessive worrying, moodiness, lack of interest)

More than half of the time

About half of the time

Less than half of the time

Rarely

Not At All

T.I.E.S.

How often do you experience SLEEPING issues?*

(Problems staying asleep, falling asleep, poor quality of sleep, waking up feeling fatigued)

More than half of the time

About half of the time

Less than half of the time

Rarely

Not At All

Name

This field is for validation purposes and should be left unchanged.

T.I.E.S Survey For Mental Health Symptoms Related to Menopause

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