Womens Health Questionnaire

Aging is a process that cannot be avoided, however how (add emphasis on how) we age can! When hormone levels are unbalanced they can wreak havoc in your body and prevent you from living a better quality of life. Select the symptoms that are relevant, and find out if hormone therapy is right for you.

Symptoms

Hot Flashes
Yes No
Night Sweats
Yes No
Vaginal Dryness
Yes No
Uterine Fibroids
Yes No
Water Retention
Yes No
Foggy Thinking
Yes No
Depressed
Yes No
Mood Swings
Yes No
Weight Gain
Yes No
Fibromyalgia
Yes No
Stress
Yes No
Fatigue
Yes No
Difficulty Sleeping
Yes No
Headaches
Yes No
Dry Hair / Brittle Nails
Yes No
Constipation
Yes No
Decreased Libido
Yes No
Bone Loss
Yes No
Muscle Loss
Yes No
Acne
Yes No

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Call to schedule your free consultation to learn more about services and whether it's right for you.