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Adrenal Fatigue and HPA-Axis Imbalance Quiz

Use this tool to assess your body's state of reactivity and need


Respond to the following questions with Never, Sometimes, or Often. Give yourself a score of 2 for each Often response, 1 for Sometimes, and 0 for Never. This quiz is used as a tool to determine if adrenal fatigue and HPA-axis (hypothalamic-pituitary-adrenal) imbalance are root causes of anxiety, thereby requiring additional medical support.

  1. Do you feel chronically fatigued, even after a good night's sleep? Never ______ Sometimes ______ Often ______

  2. Do you experience insomnia or sleep issues? Never ______ Sometimes ______ Often ______

  3. Are you apathetic or indifferent, even in areas of your passion or interests, and/or do you feel wildly impassioned and uncontrollably motivated with difficulty winding down? Never ______ Sometimes ______ Often ______

  4. Do you suffer from seasonal allergies or rely on antihistamines (natural or OTC)? Never ______ Sometimes ______ Often ______

  5. Do you have poor circulation, cold extremities, or difficulty regulating body temperature? Never ______ Sometimes ______ Often ______

  6. Do you crave salt or experience constant thirst? Never ______ Sometimes ______ Often ______

  7. Does your mind feel thin or overworked, and/or do you experience racing thoughts? Never ______ Sometimes ______ Often ______

  8. Is it difficult to complete tasks and multitask, and/or do you often find yourself distracted? Never ______ Sometimes ______ Often ______

  9. Do you experience pain throughout your body? Never ______ Sometimes ______ Often ______

  10. Do you get heart palpitations or tightness in your chest? Never ______ Sometimes ______ Often ______

  11. Do you feel impulsive, irritable, and reactive or snappy? Never ______ Sometimes ______ Often ______

  12. Do you rely on exercise as the one time you feel good or energized? Never ______ Sometimes ______ Often ______

  13. Do you have a low libido/sex drive? Never ______ Sometimes ______ Often ______

  14. Do you experience dizziness and have issues with low or high blood pressure? Never ______ Sometimes ______ Often ______

Total Score: ____________

Less than 10

It looks like your adrenals are functioning optimally and your stress axis is in check.

Greater than or equal to 10 and less than 15

It looks like your adrenals could use some TLC and your stress axis may be in overdrive.

15 or higher

It looks like you are suffering from adrenal fatigue and your stress axis is imbalanced.



All of the information in this writing is for educational and informational purposes only. We are passionate about leading a healthy lifestyle and aim to share that passion with you through coaching, blogs, readings, chats, social media, etc. The information in this writing is taken from the source below to ensure accurate and current content:

Ali Miller, RD, LD, CDE (2018) Ulysses Press, the anti-anxiety diet: A Whole-Body Program to Stop Racing Thoughts, Banish Worry and Live Panic-Free, pp 114-116.

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