404-264-9553
Home
Services
Weight Loss
Physician Assisted Weight Loss
Personal Story on Weight Loss
Biggest Winner Contest
Anti-Aging for Women
Hormone Replacement Therapy
Menopause & Perimenopause
Anti-Aging for Men
Hormone Replacement Therapy
Andropause Therapy
Stress Reduction
Biofeedback
SCIO Testing
Eternale
Aesthetic & Beauty
Chiropractic Services
About Us
Testimonials
Learning Center
Weight Loss and Nutrition
Anti Aging and HRT for Women
Anti Aging and HRT for Men
Stress Management
Health and Wellness Blog
Weight Loss Videos
Events
New Year New You Giveaway
Contact Us
Request an Appointment
Anti-Aging questionnaire for women
1. Is your menstrual cycle more irregular than when you were in your midtwenties?
Yes
No
Invalid Input
2. Do you have alternations of heavier bleeding one cycle followed by a cycle with lighter bleeding?
Yes
No
Invalid Input
3. Have you experienced hot flushes in which a wave of warmth rises from your chest and abdomen up to your face in a matter of minutes?
Yes
No
Invalid Input
4. Do you have trouble sleeping or awaken at night and notice that you are sweating excessively?
Yes
No
Invalid Input
5. Has your interest in sexual intimacy, or the pleasure you derive from it, lessened?
Yes
No
Invalid Input
6. Do you have vaginal dryness or pain with sexual intercourse?
Yes
No
Invalid Input
7. Do you have breast enlargement or tenderness before some periods that you didn\'t have when you were younger?
Yes
No
Invalid Input
8. Are you more irritable or do you suffer from periods of depressed mood? Is some of your zest for life fading?
Yes
No
Invalid Input
9. Have your headaches gotten worse just before or during your period?
Yes
No
Invalid Input
10. Have you recently noticed difficulty concentrating or forgetfulness when trying to remember names and places?
Yes
No
Invalid Input
Have your breasts gotten smaller or started to droop?
Yes
No
Invalid Input
12. Have you been experiencing more stress, anxiousness, or nervousness?
Yes
No
Invalid Input
13. Have you gained weight, especially in the abdomen, hips, and buttocks (or clothes not fitting/too tight)?
Yes
No
Invalid Input
14. Are you slower, more sluggish, or do you have less energy?
Yes
No
Invalid Input
Name (*):
Invalid Input
Email (*):
Invalid Input
Phone Number (*):
Invalid Input
How did you find us? (*):
Google
Yahoo
MSN
Other Search Engine
Friend
TV
Newspaper
At an event
From a sign
Link from other website
Other
*
Refresh
Invalid Input
Please
Contact Us
if you have any question.
eNewsletter Sign Up
Have a Question?