|
Have
You Had Menopausal Symptoms or Concerns Within the Past Year? If So, Please Take Our Survey.
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| What
Are You Doing For Your Symptoms or Concerns?
Hormone Therapy
Alternative Therapy
Both Therapies
Neither Therapy
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|
If You Have Used Alternative
Therapy, or Both Therapies Please Select From The
Following List of Symptoms or Concerns. Choose the Alternative
Treatments you Have Used.
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| SYMPTOMS: |
Hot Flashes
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Period Changes
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Anxiety
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Fatigue
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Mood Swings
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Forgetfulness
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy
|
Insomnia
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Weight Gain
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Vaginal Dryness
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Headache
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Night Sweats
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Depression
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
| CONCERNS: |
Osteoporosis
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
Heart Disease
Yes
No |
Select
Treatments:
Herbs
Calcium
Vitamin/supplement other than Calcium
Proper nutrition/Diet
|
Exercise
Acupuncture
Relaxation/Meditation
Homeopathy |
| ADDITIONAL
COMMENTS ? |
|
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