Ocala, Florida
Instructions: 0 means you have no symptoms of this type at all. 1 means you have very mild symptoms of this type. 5 would be moderate symptoms and 10 would mean you have severe symptoms of this type.
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Tell Us About Your Symptoms*
Fatigue* 012345678910
Mental Confusion* 012345678910
Decreased Sex Drive/Libido* 012345678910
Sleep Problems* 012345678910
Mood Changes/Irritability* 012345678910
Migraine/Severe Headache* 012345678910
Weight Gain* 012345678910
Hot Flashes* 012345678910
Hair Loss* 012345678910
Joint Pain/Muscle Aches* 012345678910
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