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HEALTH ASSESSMENT

TAKE OUR HEALTH ASSESSMENT QUIZ TO FIND OUT IF YOUR SYMPTOMS MAY BE RELATED TO A HORMONE IMBALANCE.

Which of the following symptoms apply to you currently (in the last 2 weeks)? Please select Female or Male from the dropdown menu and mark the appropriate box for each symptom. For symptoms that do not currently apply or no longer apply, mark 'none'. Complete the form and click submit to learn more about hormone therapy / BioTE®.

To calculate your severity score, add up the numbers associated with each symptom (None = 0, Mild = 1, Moderate = 2, Severe = 3, Very severe = 4)

Severity score: Mild: 1-20 / Moderate: 21-40 / Severe: 41-60 / Very severe: 61-80

    Hot flashes

    NoneMildModerateSevereVery severe

    Sweating (night sweats or excessive sweating)

    NoneMildModerateSevereVery severe

    Sleep problems (difficulty falling asleep, sleeping through the night or waking up too early)

    NoneMildModerateSevereVery severe

    Depressive mood (feeling down, sad, lack of drive)

    NoneMildModerateSevereVery severe

    Irritability (mood swings, feeling aggressive, angers easily)

    NoneMildModerateSevereVery severe

    Anxiety (inner restlessness, feeling panicked, feeling nervous, inner tension)

    NoneMildModerateSevereVery severe

    Physical exhaustion (general decrease in muscle strength or endurance, decrease in work performance, fatigue, lack of energy, stamina or motivation)

    NoneMildModerateSevereVery severe

    Sexual problems (change in sexual desire, sexual activity, orgasm and/or satisfaction)

    NoneMildModerateSevereVery severe

    Bladder problems (difficulty urinating, increased need to urinate)

    NoneMildModerateSevereVery severe

    Vaginal symptoms (sensation of dryness or burning in vagina, difficulty with sexual intercourse)

    NoneMildModerateSevereVery severe

    Joint and muscular symptoms (joint pain or swelling, muscle weakness, poor recovery after exercise)

    NoneMildModerateSevereVery severe

    Difficulties with memory

    NoneMildModerateSevereVery severe

    Problems with thinking, concentrating or reasoning

    NoneMildModerateSevereVery severe

    Difficulties learning new things

    NoneMildModerateSevereVery severe

    Trouble thinking of the right word to describe persons, places or things when speaking

    NoneMildModerateSevereVery severe

    Increase in frequency or intensity of headaches/migraines

    NoneMildModerateSevereVery severe

    Rapid hair loss or thinning

    NoneMildModerateSevereVery severe

    Feel cold all the time or have cold hands or feet

    NoneMildModerateSevereVery severe

    Weight gain, increased belly fat, or difficulty losing weight despite diet and exercise

    NoneMildModerateSevereVery severe

    Dry or wrinkled skin

    NoneMildModerateSevereVery severe

    Contact us to learn more about BioTE®

      Sweating (night sweats or excessive sweating)

      NoneMildModerateSevereVery severe

      Sleep problems (difficulty falling asleep, sleeping through the night or waking up too early)

      NoneMildModerateSevereVery severe

      Increased need for sleep or falls asleep easily after a meal

      NoneMildModerateSevereVery severe

      Depressive mood (feeling down, sad, lack of drive)

      NoneMildModerateSevereVery severe

      Irritability (mood swings, feeling aggressive, angers easily)

      NoneMildModerateSevereVery severe

      Anxiety (inner restlessness, feeling panicked, feeling nervous, inner tension)

      NoneMildModerateSevereVery severe

      Physical exhaustion (general decrease in muscle strength or endurance, decrease in work performance, fatigue, lack of energy, stamina or motivation)

      NoneMildModerateSevereVery severe

      Sexual problems (change in sexual desire or in sexual performance)

      NoneMildModerateSevereVery severe

      Bladder problems (difficulty urinating, increased need to urinate)

      NoneMildModerateSevereVery severe

      Erectile changes (weaker erections, loss of morning erections)

      NoneMildModerateSevereVery severe

      Joint and muscular symptoms (joint pain or swelling, muscle weakness, poor recovery after exercise)

      NoneMildModerateSevereVery severe

      Difficulties with memory

      NoneMildModerateSevereVery severe

      Problems with thinking, concentrating or reasoning

      NoneMildModerateSevereVery severe

      Difficulties learning new things

      NoneMildModerateSevereVery severe

      Trouble thinking of the right word to describe persons, places or things when speaking

      NoneMildModerateSevereVery severe

      Increase in frequency or intensity of headaches/migraines

      NoneMildModerateSevereVery severe

      Rapid hair loss or thinning

      NoneMildModerateSevereVery severe

      Feel cold all the time or have cold hands or feet

      NoneMildModerateSevereVery severe

      Weight gain, increased belly fat, or difficulty losing weight despite diet and exercise

      NoneMildModerateSevereVery severe

      Infrequent or absent ejaculations

      NoneMildModerateSevereVery severe

      Contact us to learn more about BioTE®