Please fill out the following quiz completely:

    Yes No
Do you feel tired and fatigued?  
Do you have a loss of clarity?  
Do you experience mood changes or irritability?  
Do you suffer from memory loss?  
Do you feel depressed?  
Do you suffer from bloating?  
Do you have breast tenderness?  
Are you losing sleep?  
Do you suffer from hot flashes?  
Do you have night sweats?  
Do you have high blood pressure?  
Do you have irregular periods?  
Do you suffer from vaginal dryness?  
Do you have Arthritis?  
Do you suffer from migraines?  
Have you experienced hair loss?  
Is it harder to reach climax?  
Do you have a decreased libido (sex drive)?  
 
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