TRT Questionnaire for Women – BodyRejuvenation

How difficult is it for you to build muscle?

How hard is it for you to lose fat?

How would you rate your sex drive (libido)? “My sex drive…”

How would you rate your overall happiness and wellbeing?

Which of these results would make the BIGGEST difference in your life?

When was the last time you got your blood work done?

Are you currently under any form of hormonal treatment?

Please specify

What are your primary health goals?

Are you interested in proactive healthcare and preventative measures to optimize your health and longevity?

Do you stay active and prioritize healthy lifestyle habits like exercise and nutrition?

Would you be open to exploring evidence-based, cutting-edge therapies for anti-aging and wellness?

Are you comfortable providing recent blood work or participating in a comprehensive health assessment?

Do you believe in a collaborative approach to healthcare, working with medical professionals to achieve your goals?

How much do you budget for your wellness each year?

Enter your zip code

We need to make sure your state allows telehealth.

Name

First

Last

Email

Phone

How did you hear about us?

Please specify

If you heard about us from another source, please specify.

Please specify

Our clinic is in Hallandale, Florida, are you nearby?

If you live far, we do offer virtual consultations