Women's Hormone Test


Please answer the questions below. We will review your answers and return your results via email. If you have any further questions, please email us at info@balancedlifeandhealth.com


Do you suffer from hot flashes? *
Do you have night sweats? *
Do you find yourself feeling more stressed, anxious or nervous than you have in the past? *
Have you gained weight, especially in your abdomen, hips, buttocks, or thighs? *
Do you have trouble sleeping? *
Is it hard to remember things? *
Do you feel depressed? *
Have you lost interest in sex? *
Do you feel irritable, inpatient or angry, without control over your emotions? *
Do you have urinary leakage when you cough or sneeze? *
Name *
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