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Do you need Hormone Replacement Therapy?

Do you find that you have less energy than usual?

Yes

Pick the choice(s) that best describes your sleeping habits.

My sleeping habits are normal.

I've been having a difficult time getting out of bed.

I've been having a difficult time falling asleep.

I've been having difficulty staying asleep after I fall asleep.

Pick the choice(s) that best describe your sexual desire/libido.

Sex is a normal part of my life, and I get great satisfaction from it.

I rarely/never want to have sex, and I have a hard time performing/reaching climax when I do have sex.

I want to have sex, but it doesn't seem like it's worth the effort.

My sex drive is high, but I frequently cannot perform/reach climax.

Pick the choice(s) that best describe your physical well-being.

I experience joint pain.

My joints feel stiff.

I feel generally achy all the time.

I get sick more often than I used to.

I feel great all the time!

Do you find yourself carrying more weight than usual, despite continuing your usual eating habits and level of activity?

Yes

Have you been told by a doctor or medical clinician that your bone density is decreasing?

Yes

Are you dealing with symptoms of exhaustion, depression, and reduced "zest for life"?

Yes

What is your first name?

What is your phone number?

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