Hormone Symptom Quiz
Are you curious if your hormones could be a cause for the symptoms you are experiencing? Take our FREE online symptom checker to find out. After you take the quiz, one of our doctors will email you to let you know which test kit is best for you. The kit will be ordered and sent directly to your house. ZRT Laboratory will collect payment for processing the test directly from you and will send Platinum Family Chiropractic the results. One of our doctors will set up a telehealth consult to go over the results and the options to help regulate your hormones to get you feeling your best! 
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What is your first and last name?  *
What is your email address?  *
What is your phone number?  *
What is your mailing address?  *
What is the best way to contact you for your results?  *
Do you experience lack of or irregular ovulation?  *
Do you feel or have you been told you are in perimenopause?  *
Do you feel or have you been told you are in menopause?  *
Do you feel that your body fat is accumulating more in a single area such as your abdomen, thighs, breast or buttock?  *
Do you experience frequent breast tenderness?  *
Have you experienced a miscarriage?  *
Do you feel like your joints are aching more frequently?  *
Do you feel or have you been told your bone health is decreasing?  *
Have you been experiencing brain fog or forgetfulness more frequently?  *
Do you feel or have you been told you are currently experiencing puberty early or later than average?  *
Have you experienced vaginal dryness?  *
Have you experienced hot flashes at anytime during the day or night?  *
Are you experiencing heavy or irregular menses (periods)? *
Are you experiencing a lack of interest in sex or a low libido?  *
Do you feel you are losing strength?  *
Have you had an absence in your menses (period) for more than a month?  *
Do you feel like your hair is getting thinner?  *
Have you had an increase in acne?  *
Do you feel fatigued often?  *
Have you experienced infertility, such as unable to conceive and/or maintain a pregnancy?  *
Have you experienced erectile dysfunction? *
Do you feel over stressed?  *
Have you experienced anxiety more frequently?  *
Have you had frequent moments of depression?  *
Have you experienced frequent insomnia?  *
Have you experienced weight gain without changing your diet?  *
Have you been told your blood sugar is elevated recently?  *
Have you been told you have high blood pressure?  *
Do you feel or have you been told you have excess hair (facial hair, arm hair, back hair, etc.)? *
Have you been told you have low blood pressure?  *
Have you experienced a poor appetite more frequently?  *
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