Hormora Scan + Protocol

Get Your Personalized Hormonal Profile and Protocol

This form combines your body composition data, symptoms, and health history to identify potential hormone imbalances across six interconnected systems — insulin, cortisol, thyroid, testosterone, estrogen, and growth hormone.

Our AI analyzes how these systems interact to create your personalized profile and actionable protocol.

⏱️ Takes about 6–10 minutes.
📏 Have tape measure for two circumference measurements
📸 Have a front-facing, full-body photo ready (underwear, swimsuit, sports bra, or shorts — the more skin visible, the more accurate your analysis).

🔒Your data is confidential and used solely to generate your report.

Basic Information

What's Your Full Name? *

Please enter your name.

What's Your Email? *

‼️Important: Use the same email you purchased with. If the emails don't match, we can't deliver your protocol.

Please enter a valid email.

What's Your Age? *

Please enter your age.

What is your ethnicity? *

Please select an option.

What's Your Sex? *

Please select your sex.

Hormonal Status

What best describes your current menstrual or hormonal status? *

Please select the option that most accurately reflects your current phase.

Please select an option.

Do you experience PMS symptoms? *

Select all that apply

Please select at least one option.

How would you describe your menstrual flow? *

Please select an option.

Has your period flow changed in the last 1–2 years? *

Please select an option.

Do you experience any of the following? *

Select all that apply

Please select at least one option.

Hormonal Symptoms

Have you noticed any of the following in the past year? *

Select all that apply

Please select at least one option.

Body Measurements

What is your height? *

Please select your height.

What is your weight? *

In pounds

Please enter your weight.

What is your waist circumference? *

How to Measure Waist Circumference

Use a flexible tape measure to measure the narrowest part of your waist, typically just above your belly button and below your ribcage.

Stand up straight, relaxed, and breathe out normally (don't suck in your stomach)
Wrap the tape around your torso at your belly button
Keep the tape level, parallel to the floor, and snug but not compressing the skin

Please select your waist circumference.

What is your hip circumference? *

How to Measure Hip Circumference

Stand with your feet together. Use a flexible tape measure and wrap the measuring tape around the widest part of your hips and glutes.

The tape should be level with the floor and lie flat against your skin — don't pull it too tight.

💡 Tip: Look in a mirror or ask someone to help to make sure the tape is straight.

Please select your hip circumference.

Body Composition Photo

Upload Your Full-Body Photo *

To accurately analyze your hormonal fat distribution patterns, we need a clear, full-body photo.

✅ REQUIRED:
· Stand straight with arms relaxed at your sides
· Face the camera directly (forward-facing)
· Show your entire body from head to toe in frame
· Wear minimal clothing (underwear, sports bra, or shorts)
· Use good lighting and a plain, neutral background
· Stay natural — no flexing, posing, or filters

❌ AVOID:
· Form-fitting athleisure (leggings, compression wear, shapewear)
· Baggy or loose clothing that hides your body shape
· Cropped photos (your full body MUST be visible)
· Nudity (keep underwear/minimal clothing on)
· Poor lighting or busy backgrounds

Photo guide: Full body correct vs cropped photo avoid

Click to choose a file or drag here

JPG, PNG — max 10MB

🔒Privacy: Your photo is confidential, analyzed by AI only, never seen by a human, and used solely for your hormonal analysis. Contact support@hormora.com to have it deleted at any time.

Fat Distribution

Where do you store the most fat? *

Select up to 3 areas where you notice the most fat accumulation

Please select at least one area.

Has your fat distribution changed over time? *

Please select an option.

If yes, where has fat shifted to that wasn't there before? *

Please describe where fat has shifted

Energy & Sleep

How often do you feel low energy mid-day? *

Which best describes your energy pattern throughout the day? *

How well do you sleep? *

How many hours of sleep do you typically get? *

What time do you typically wake up? *

Do you work a non-traditional schedule? *

How would you rate your overall stress level? *

Digestion & Cravings

What cravings do you struggle with most? *

Select all that apply

Do you feel tired or sluggish after eating carbs or sugar? *

Do you experience digestive issues? *

Have you been diagnosed with any digestive conditions? *

Select all that apply

If other, what have you been diagnosed with?

Mood & Symptoms

Do you experience mood swings or irritability? *

How would you describe your sex drive compared to a year ago? *

Do you experience any of the following? *

Select all that apply

Exercise & Diet

How many days per week do you exercise? *

What type of exercise do you primarily do? *

Select all that apply

Do you drink caffeine daily? *

How many alcoholic drinks do you have per week? *

Which best describes how you eat? *

Do you follow a specific eating pattern? *

Where do most of your meals come from? *

Do you have food allergies or intolerances? *

What food allergy or intolerance do you have or suspect?

e.g., dairy, shellfish, eggs, gluten, etc.

Medications & Supplements

Are you currently taking any of the following? *

Please list any other medications

What supplements are you currently taking? *

e.g., Vitamin D3, magnesium, ashwagandha, fish oil. Type "none" if you're not taking supplements.

Please list your supplements or type "none".

Health History & Goals

What are your primary health or body goals right now? *

Select all that apply

Please select at least one goal.

How would you describe your metabolism? *

Do you often feel cold when others feel comfortable? *

Does anyone in your immediate family have any of the following? *

Have you ever been diagnosed with hormone-related issues (e.g., thyroid disorders, PCOS, insulin resistance, high cortisol, low testosterone, etc.)? *

Tell us more about your diagnosis or suspicion

Include as much detail as possible — this helps us personalize your analysis:
· What were you diagnosed with (or what do you suspect)?
· When were you diagnosed?
· Are you currently being treated? If yes, what treatments/medications?
· Any relevant test results or hormone levels you know?

Almost Done

🧬 Get Your Hormonal Profile Analysis

Is there anything else you'd like us to know? Share any additional symptoms, concerns, or context that may help personalize your analysis. This is optional and for informational purposes only.