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HRT Male
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Weight Loss
About Us
Progressive Health Clinic
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Patient Intake Forms
Information & Articles
Blog
For more Information Call:
877-415-3350
Home
Health Assessment
Male
Female
Our Process
Hormone Replacement
HRT Male
HRT Female
Weight Loss
About Us
Progressive Health Clinic
Patient Resources
Patient Intake Forms
Information & Articles
Blog
Menu
Home
Health Assessment
Male
Female
Our Process
Hormone Replacement
HRT Male
HRT Female
Weight Loss
About Us
Progressive Health Clinic
Patient Resources
Patient Intake Forms
Information & Articles
Blog
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Take Your Health Assessment
Energy Levels:
Do you experience fatigue throughout the day?
Yes
No
Sleep Quality:
Are you having trouble with sleep either falling asleep or staying asleep at night?
Yes
No
Concentration:
Do you have trouble with focus, do you find it difficult to complete tasks?
Yes
No
Weight Gain:
Have you noticed recent weight gain, particularly around your stomach, hips, and thighs?
Yes
No
Menstrual Cycles:
Are you still having menstrual cycles regular, if so are they becoming shorter or more irregular?
Yes
No
Sexual Desire:
Has your interest in sex decreased lately?
Yes
No
Vaginal Discomfort:
When having intercourse do you experience vaginal dryness or discomfort?
Yes
No
UTIs:
Are you prone to frequent urinary tract infections?
Yes
No
Mood Changes:
Have you noticed yourself feeling more irritable or experiencing mood swings recently?
Yes
No
Stress Management:
Do you feel overwhelmed or have an inability to cope or handle stress effectively?
Yes
No
Reduced Interest & Anxiety:
Have you lost interest in activities you used to enjoy? Do you feel anxious or down more often?
Yes
No
Facial Hair Growth:
Have you noticed any increase in unwanted facial hair?
Yes
No
Hair Loss:
Are you experiencing hair thinning or loss?
Yes
No
Hot Flashes:
Do you experience hot flashes throughout the day?
Yes
No
Night Sweats:
Do you frequently wake up in the middle of the night sweating?
Yes
No
Joint Pain & Recovery:
Have you noticed more aches and pains in your joints, or are you taking longer to recover after exercise?
Yes
No
Take Charge of Your Health with Our Free Health Consultation
If you answered
"Yes"
to
3 or more
of these questions, it would be beneficial for you to discuss your health and symptom reduction solutions with our specialists. We would like to provide you with a free consultation with our concierge medical specialists who can provide you with a customized wellness program to address your specific needs and optimize your overall health.
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