What is your systolic blood pressure?

130-140 140-150

Do you experience headaches upon awakening?

Yes No

Have you experienced sudden weight gain?

Yes No

Do you experience circulation problems?

Yes No

x close

Do you experience burning pain, urgency and/or frequency in urination

Yes No

Does your urine have an offensive order?

Yes No

Is there blood in your urine?

Yes No

Have you been on antibiotics in the last 9 months?

Yes No

x close

Do you experience any of the following: irregular cycles, diminished cycles, periods completely stopped?

Yes No

Do you experiences changes in moood, nevousness, difficulty sleeping or decreased sexual drive?

Yes No

Do you experience hot flashes with night sweats

Yes No

Have you recently experienced bone fractures or signs of osteoporosis?

Yes No

x close

Do you experience inflammation of nasal passages, stuffiness, and/or sneezing?

Yes No

Do you experience a scratchy throat?

Yes No

Do you have cough or hoarseness in the throat?

Yes No

Do you have headaches and/or a fever (100 F, 37.7 C)

Yes No

x close

Are you prone to colds and flu's?

Yes No

Did you recently have a prescription for Antibiotics (in the last 9 months)?

Yes No

Are you presently taking any medications that might compromise your immune system?

Yes No

Are you prone to stomach flu's and or diarrhea?

Yes No

x close