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Fertility quiz
Comprehensive Fertility Quiz
Comprehensive Fertility Quiz
1. What is your age?
Under 25
25-30
31-35
36-40
Over 40
2. How regular is your menstrual cycle?
Very Regular (28-30 days)
Somewhat Regular (30-35 days)
Irregular (35+ days)
Very Irregular (unpredictable)
3. Do you have any diagnosed medical conditions that could affect fertility? (Select all that apply)
Polycystic Ovary Syndrome (PCOS)
Endometriosis
Thyroid Disorders
Diabetes
None
4. What is your height and weight?
Height (in cm): 155
Weight (in kg): 77
5. How often do you engage in physical activity?
Daily
3-5 times a week
1-2 times a week
Rarely or never
6. How would you describe your diet? (Select all that apply)
Balanced and varied
High in processed foods
Vegetarian/Vegan
High protein/Low carb
7. Are you currently taking any supplements or medications? (Select all that apply)
Prenatal Vitamins
Folic Acid
Fertility Supplements
Prescription Medications
None
8. How would you rate your stress levels on a scale of 1 to 5, with 1 being very low and 5 being very high?
1
2
3
4
5
9. How many hours of sleep do you get per night on average?
Less than 5 hours
5-6 hours
6-7 hours
7-8 hours
More than 8 hours
10. How often do you consume alcohol?
Daily
A few times a week
Rarely
Never
11. How many cups of caffeinated beverages do you consume per day?
None
1-2 cups
3-4 cups
More than 4 cups
12. How often do you and your partner have intercourse during your fertile window?
Daily
Every other day
1-2 times a week
Less than once a week
Get Results
Your Personalized Fertility Report
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