(505) 922-9800

BHRT Quiz for Women

Complete the Hormone Wellness Quiz to get a better understanding of whether you are a good candidate for Bio-identical Hormone Replacement pellet therapy. Camille will review your answers and contact you with recommendations.

    YOUR SYMPTOMS:

    FATIGUE
    Not An IssueMildModerateSevere

    MOOD CHANGES
    Not An IssueMildModerateSevere

    DECREASED MENTAL ABILITY
    Not An IssueMildModerateSevere

    HOT FLASHES/NIGHT SWEATS
    Not An IssueMildModerateSevere

    WEIGHT GAIN
    Not An IssueMildModerateSevere

    DECREASED SEX DRIVE
    Not An IssueMildModerateSevere

    SLEEP PROBLEMS
    Not An IssueMildModerateSevere

    COLD HANDS & FEET
    Not An IssueMildModerateSevere

    DECREASED MUSCLE STRENGTH
    Not An IssueMildModerateSevere

    HAIR LOSS & BREAKAGE
    Not An IssueMildModerateSevere

    DRY, ITCHY SKIN
    Not An IssueMildModerateSevere

    FAMILY HISTORY:

    Check all that apply.

    Heart DiseaseDiabetesOsteoporosisAlzheimer's DiseaseBreast CancerN/A

    CONTACT INFO:

    We will review your answers and contact you with recommendations.

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    (505) 922-9800

    7301 Jefferson St. NE Suite G
    Albuquerque, NM 87109

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