Female HRT Questionnaire

Hot flashes or night sweats?
YesNo

Difficulty falling asleep or staying asleep?
YesNo

Decreased or absent libido?
YesNo

Weight gain?
YesNo

Fatigue despite getting a good night's rest?
YesNo

Decreased clarity of thoughts?
YesNo

Thinning of hair or hair loss?
YesNo

Any skin changes or increased dryness to skin?
YesNo

Cold extremities such as hands or feet?
YesNo

No energy to do the things you used to do?
YesNo



E-mailOnline AdSearch EngineTwitterFacebook

CONTACT US NOW.