Take our quick symptoms survey to determine if you may have a hormonal imbalance.
First Name
*
Date of Birth
*
Sex/Gender
*
Female
Male
Phone
*
Email
*
Do you experience problems with mental focus or concentration?
Yes
No
Do you suffer from sleep disturbances, chronic fatigue, or decreased energy levels?
Yes
No
Do you more frequently feel anxious, irritable, or depressed?
Yes
No
Have you suffered from decreased physical strength, loss of muscle tone and/or joint pain?
Yes
No
Have you noticed a decrease in your skin's radiance, elasticity, and/or thickness?
Yes
No
Are you experiencing a loss of libido (either decreased sex drive and/or issues with sexual arousal)?
Yes
No
Are you having issues with hot flashes, night sweats, and/or vaginal dryness?
Yes
No
N/A
If you answered 'YES' to any of the above, you may be suffering from a hormonal deficiency which can be easily addressed through our natural, bio-identical hormone replacement therapy.
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