Men's Hormone Testing | Hormone Health Grand Junction

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Services
Forms
- Men's Forms
- Women's Forms
Testimonials
Payment Plans
About Us
More Info
Contact Us

(970) 812-5115

Men's Hormone Test

Men's Hormone Test

Take this test to help us assess how bioidentical hormone replacement might benefit you.

Last Name

First Name

Phone *

Email *

Do you feel depressed?

Do you feel depressed?
Yes
No
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Have you noticed a loss of self-confidence?

Have you noticed a loss of self-confidence?
Yes
No
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Do you have less interest in sex?

Do you have less interest in sex?
Yes
No
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Do you have joint pain?

Do you have joint pain?
Yes
No
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Have you noticed fewer morning erections or do you have trouble getting an erection?

Have you noticed fewer morning erections or do you have trouble getting an erection?
Yes
No
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Do you find yourself having difficulty concentrating or focusing?

Do you find yourself having difficulty concentrating or focusing?
Yes
No
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Have you noticed a loss of muscle mass, strength, or endurance?

Have you noticed a loss of muscle mass, strength, or endurance?
Yes
No
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Do you feel less energetic than when you were 30?

Do you feel less energetic than when you were 30?
Yes
No
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Do you feel irritable, angry, or impatient without control of emotions?

Do you feel irritable, angry, or impatient without control of emotions?
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No
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Do you have high blood pressure or cholesterol?

Do you have high blood pressure or cholesterol?
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No
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How did you hear about us?

How did you hear about us?
TV
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Dr. Referred
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I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Men's Questionnaire

Men's Questionnaire

Please rate your symptoms between 0-10, with 0 indicating no symptoms and 10 indicating severe symptoms.

First Name

Last Name

Phone *

Email *

Progesterone Symptoms

Sleep Disturbances

Sleep Disturbances
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9
10
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List is empty.

Depression

Depression
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6
7
8
9
10
No elements found. Consider changing the search query.
List is empty.

Irritability

Irritability
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5
6
7
8
9
10
No elements found. Consider changing the search query.
List is empty.

Anxiety

Anxiety
0
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8
9
10
No elements found. Consider changing the search query.
List is empty.

Restless Legs Syndrome

Restless Legs Syndrome
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9
10
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Mood Swings

Mood Swings
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9
10
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Migraine Headaches

Migraine Headaches
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10
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Palpitations

Palpitations
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9
10
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Estrogen Symptoms

Night Sweats

Night Sweats
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8
9
10
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Hot Flashes

Hot Flashes
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Dry Skin

Dry Skin
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Testosterone Symptoms

Erectile Dysfunction

Erectile Dysfunction
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4
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6
7
8
9
10
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List is empty.

Fatigue

Fatigue
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8
9
10
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List is empty.

Low Sex Drive

Low Sex Drive
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7
8
9
10
No elements found. Consider changing the search query.
List is empty.

Poor Focus

Poor Focus
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8
9
10
No elements found. Consider changing the search query.
List is empty.

Body & Joint Pain

Body & Joint Pain
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10
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List is empty.

Memory Lapses

Memory Lapses
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10
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List is empty.

Low Exercise Tolerance

Low Exercise Tolerance
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10
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List is empty.

Loss of Muscle Tone

Loss of Muscle Tone
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10
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List is empty.

Acne

Acne
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Hair Loss

Hair Loss
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List is empty.

How did you hear about us?

How did you hear about us?
TV
Online Search
Friend
Dr. Referred
Social Media
Online Ad
Other
No elements found. Consider changing the search query.
List is empty.

I agree to terms & conditions provided by the company as stated in the privacy policy at www.hhwoc.com. By providing my phone number, I agree to receive text messages from the business.

Address

2241 N. 7th StreetGrand Junction, CO 81501

Phone

(970) 812-5115

Monday - Thursday 8:00 am - 6:00 pm

Closed for lunch 12:00 pm - 1:00 pm