Age Group Under 40 40-50 51-60 Over 60 None Have you experienced any of the following symptoms? No Yes, irregular cycles Yes, stopped menstruating None Are you experiencing any of the following symptoms? Hot flashes or night sweats Mood swings or irritability Insomnia or sleep disturbances None of the above None Have you noticed a recent increase in dry eyes or discomfort? Yes No None Do you experience blurry vision that varies throughout the day? Yes No None Have you been diagnosed with any hormonal imbalances or thyroid issues? Yes No None Do you find that your vision improves with rest or proper hydration? Yes No None Are you taking hormone replace therapy (HRT) or other medications for menopause? Yes No None 1 out of 2 Name Email Phone Time's up