This do I need HRT quiz is a free 12 question self assessment that takes about 2 minutes, needs no email, and works on paper or any device (there is no app or script to load). It has two parts: 8 yes or no symptom questions you score, and 4 risk factor questions you do not. It is a self-check to help you organize what you feel before you talk to a clinician, not a diagnosis and not a prescription. Menopause and perimenopause are decided clinically, so treat your result as a starting point for a conversation [5].
| Quick facts | Detail |
|---|---|
| Questions | 12 (8 scored symptoms, 4 unscored risk factors) |
| Time | About 2 minutes |
| Email required | No |
| Cost | Free |
*Disclosure: this page contains affiliate links. If you book an evaluation through Gala Health, we may earn a commission at no extra cost to you.*
Prefer to skip the quiz? If your symptoms are already disrupting your sleep, work, or relationships, you can go straight to a clinician. Gala Health offers an online HRT evaluation for women you can start from home, from $79 a month (per Gala). Start your online HRT evaluation with Gala Health
🔑 Key Takeaways
- What it screens: 8 common menopause symptoms, scored 1 point each, plus 4 separate risk factors that need a clinician's input.
- A high score means a conversation, not a diagnosis: a 6 to 8 fits the moderate-to-severe pattern guidelines say hormone therapy treats best [1][2].
- Any risk factor overrides the score: one checked Part 2 box means talk to a clinician first, whatever your symptom score.
- No quiz can prescribe: starting HRT needs your full health history and a licensed clinician [4].
The Do I Need HRT Quiz: 12 Yes or No Questions
Answer yes or no to each. Part 1 is scored; Part 2 is not. You can tick the boxes below or count on paper.
Part 1: Symptom Questions (1 to 8), 1 Point Each
Give yourself 1 point for every yes. The symptoms below are drawn from the menopause symptom lists used by Mayo Clinic and the Menopause Society [1][2].
- [ ] 1. Hot flashes or night sweats - [ ] 2. Trouble sleeping, or waking around 3 am and struggling to fall back asleep - [ ] 3. Mood changes such as new irritability, anxiety, or low mood - [ ] 4. Vaginal dryness or pain during sex - [ ] 5. Brain fog or trouble finding words - [ ] 6. Irregular, lighter, heavier, or skipped periods - [ ] 7. A lower sex drive than usual - [ ] 8. Persistent fatigue, or new joint aches and stiffness
Your Part 1 score: ___ out of 8
Part 2: Risk Factor Questions (9 to 12), Not Scored
Do not add these to your score. Each one is a reason to talk to a clinician or specialist before HRT, because it can change whether hormone therapy is safe or which type is appropriate. These mirror the contraindication and timing checks in the Menopause Society's 2022 position statement [1].
- [ ] 9. A personal history of breast cancer or another hormone-sensitive cancer - [ ] 10. A history of blood clots, deep vein thrombosis, or stroke - [ ] 11. Vaginal bleeding that a clinician has not yet explained - [ ] 12. You are 60 or older, or it has been more than 10 years since your last period
How to Score Your HRT Quiz
Add up your Part 1 answers, then check Part 2 separately. A checked Part 2 box always takes priority over your symptom score.
| Your Part 1 score | What it suggests | Suggested next step |
|---|---|---|
| 0 to 2 | Symptoms may have another cause | Track your symptoms; see a clinician if they persist or worsen |
| 3 to 5 | A pattern consistent with early perimenopause | An evaluation is reasonable |
| 6 to 8 | A pattern consistent with moderate-to-severe menopausal symptoms | Book an HRT evaluation |
| Any Part 2 box checked | A risk factor is present | Talk to a clinician or specialist first, whatever your score |
These bands are a simple screening aid, not a validated clinical scale. Validated tools such as the Menopause Rating Scale exist and are scored differently; this quiz is a screener meant to start a conversation [6].
Should I Take HRT Quiz Results: What Your Score Means
Scored 6 to 8: your answers fit the moderate-to-severe symptom picture guidelines identify as the clearest reason to consider hormone therapy, especially for hot flashes and night sweats [1][2]. This is a strong signal to book an evaluation.
Scored 3 to 5: this is consistent with early or ongoing perimenopause, and an evaluation is reasonable. If your periods are still changing, see HRT for perimenopause.
Scored 0 to 2: your symptoms may have other causes, such as thyroid issues, stress, or poor sleep, and HRT is unlikely to be the first step. Persistent symptoms are still worth raising with a clinician.
Timing matters: guidelines support hormone therapy for healthy, symptomatic women under 60 or within 10 years of their final period, the window in which benefits are most likely to outweigh risks [1][4]. This is general framing, not a promise that HRT is right for you.
Scored 3 or higher? A licensed clinician can tell you what a quiz cannot. Start your online HRT evaluation with Gala Health and review your symptoms and history with a professional.
What This Quiz Cannot Tell You
This quiz cannot diagnose menopause, confirm that HRT is right for you, or rule out every contraindication. It does not account for your full medical history, medications, or family history.
Not a diagnosis. A high score is a reason to seek an evaluation, not proof you need hormones; a low score does not make your symptoms dismissible. Either way, the next step is a qualified clinician [4][5].
It also does not require a blood test. For most women over 45 with typical symptoms, perimenopause and menopause are diagnosed clinically, so hormone blood tests are usually not needed, though a clinician may order labs in specific cases [3].
Who Is a Good Candidate for HRT
In general, good candidates are healthy women with bothersome menopausal symptoms who fall inside the timing window and have no major contraindications:
- Moderate-to-severe hot flashes, night sweats, or sleep disruption - Under 60, or within 10 years of the final period [1] - No personal history of breast cancer, blood clots, stroke, or unexplained bleeding - Symptoms affecting daily life, weighed against your own risk factors
This is a summary. For who HRT is right for, benefits and risks, read our full guide for women, and see the pros and cons of HRT for the trade-offs in detail.
What Happens in a Real HRT Evaluation
A clinician decides this, not a quiz. A typical online HRT evaluation follows a similar path: you complete a health-history intake, review your symptoms, and a clinician screens for the Part 2 contraindications. If HRT is appropriate, you discuss options (estrogen type and delivery, and whether you need progesterone) and agree on a starting plan and follow-up. If it is not, a clinician can point to alternatives.
To see how the online route works and what it costs, read how online HRT works, compare the best online HRT providers, and check what HRT costs with and without insurance.
About Gala Health
Gala Health is one online option for the route above, positioned as an accessible, transparent-priced way to start. It offers telehealth HRT for women from $79 a month (per Gala), which Gala says covers the provider consultation, your prescription if one is issued, and ongoing support, with free shipping to your door [7][8]. Gala states it serves all 50 states, though actual availability depends on provider licensure and telehealth rules where you live, so confirm your state at signup. Its clinicians are US-licensed, and it prescribes standard regimens such as estradiol (pill or patch), progesterone, and vaginal estradiol, plus non-hormonal options; it does not offer testosterone, gels, creams, or pellets [7]. One thing to know before you start: Gala's hormones are compounded medications, which Gala discloses are not FDA-approved finished drug products, so if you would rather use an FDA-approved product, raise that with the clinician. Care is cash-pay, as insurance is not accepted [8].
Frequently Asked Questions
Whatever your score, the next step is the same: a conversation with a clinician who can weigh your symptoms against your history. If you would rather explore non-hormonal support first, we also cover peptide options for menopause symptoms. When you are ready to talk to a professional, start your online HRT evaluation with Gala Health.
References
- The 2022 Hormone Therapy Position Statement of The North American Menopause Society. Menopause, 2022. https://pubmed.ncbi.nlm.nih.gov/35797481/
- Mayo Clinic. Hormone therapy: Is it right for you? https://www.mayoclinic.org/diseases-conditions/menopause/in-depth/hormone-therapy/art-20046372
- NHS. Hormone replacement therapy (HRT). https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/
- American College of Obstetricians and Gynecologists. Hormone Therapy FAQ. https://www.acog.org/womens-health/faqs/hormone-therapy
- MedlinePlus, U.S. National Library of Medicine. Hormone Replacement Therapy. https://medlineplus.gov/hormonereplacementtherapy.html
- Heinemann K et al. The Menopause Rating Scale (MRS) validation. Health and Quality of Life Outcomes, 2004. https://pubmed.ncbi.nlm.nih.gov/15294023/
- Gala Health. Official site, menopause and HRT product page. Accessed 2026. https://galahealth.co
- PolicyLab. Best online HRT providers comparison, 2026 (lists Gala Health at $79 per month). https://policylab.us/hormone-replacement-therapy/hrt-online/
Disclosure: this article contains affiliate links to Gala Health. If you start care through them, we may earn a commission at no extra cost to you.