Women's Hormone Imbalance Quiz

This questionnaire can help us understand which symptoms you are experiencing and also acts as  starting point for us when determining the best approach for our patients.

 

We will review results at your appointment and talk through what the best way to address your symptoms. Following a simple blood test, we then determine the best treatment plan.

On a scale of 1-5 from never to severe how does this symptom effect you?

Depressed mood

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Memory Loss

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Mental confusion

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Decreased sex drive/libido

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Sleep problems

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Mood changes/irritability

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Tension

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Thanks for submitting!

What's Next?

After we receive your quiz results, we will contact you to schedule your appointment.

Doctor's Desk