Womens Center - Menopause

1. Have you had recent changes in the frequency or flow of your menstrual periods? *This question is required.

• Yes
• No

2. Do you have trouble sleeping and/or wake up tired? *This question is required.

• Yes
• No

3. Do you experience hot flashes and/or night sweats? *This question is required.

• Yes
• No

4. Have you experienced unexplained weight gain over the past year? *This question is required.

• Yes
• No

5. Are you experiencing brain fog, irritability, sadness, or just don’t feel like yourself? *This question is required.

• Yes
• No

6. Do you suffer from stiff or achy joints? *This question is required.

• Yes
• No

7. Are you experiencing a decrease in sex drive and/or vaginal dryness? *This question is required.

• Yes
• No