Rate the following symptoms you have experienced on the scale below. Strongly disagree = I do not experience this symptom with any regularity Disagree = The symptom is a minor problem - I notice the symptom, but can manage it most of the time Neutral = The symptom is a moderate issue for me - I can manage it some of the time, but sometimes I struggle. Agree = The symptom is a real problem, but I try to push myself through it. Strongly agree = The symptom is severe - I can barely function.

PERI/POST MENOPAUSAL HORMONE SYMPTOM QUESTIONNAIRE

CORE Pharmacy

1008 West Cherry Street
Marion, Illinois 62959

contact@corepharmacy.net

HOURS

M-F: 9:00-5:00
SAT: 9:00-12:00
SUN: CLOSED

*Closed for lunch 12:30-1:30