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Are you suffering from female hormonal imbalance (low estrogen levels)?

This questionnaire lists symptoms and other factors most commonly found in women who are either perimenopausal or menopausal, and suffering from low estrogen. Read each question carefully and check the box if it applies to you. When you finish, the form will automatically calculate your score.

Do you have hot flashes?
Do you have night sweats?
Do you have vaginal dryness?
Do you urinate frequently?
Are you depressed?
Do you have difficulty sleeping?
Have you lost interest in sex?
Have your periods ceased?
Total Score
  • < 5 — It is not likely that you have low estrogen.
  • 5-9 — Low estrogen is a possibility.
  • > 9 — Low estrogen is very likely.

For a FREE Female Hormonal Imbalance CONSULTATION conducted by one of our health and wellness consultants, Contact or Call 877-698-8698.




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