Eve Questionnaire

Do you experience hot flashes, night sweats, or other hormone deficiency symptoms? The Eve Questionnaire can help you determine whether you're a potential candidate for Hormone Replacement Therapy (HRT).* 

Review the questions below and write down your answers, so you can refer back to them at the end. 

Eve Questionnaire

1. Do you have hot flashes?
   
   
2. Do you have a lack of energy?
   
   
3. Do you have restless sleep or sleep disturbances?
   
   
4. Do you have a diminished sex drive?
   
   
5. Have you noticed a decreased enjoyment of life?
   
   
6. Are you moody or easily irritated?
   
   
7. Do you have difficulty concentrating, or have short-term memory loss?
   
   
8. Have you noticed muscle loss?
   
   
9. Do you feel fatigued often?
   
   
10. Do you have bladder leakage?
    
    
11. Do you have excess body fat?

If you answered yes to any of these questions, you might be a candidate for HRT. Contact Us to learn more about becoming a patient at Defy Medical. 

*This test is not intended to replace a consultation with a healthcare professional, nor is it intended to provide specific medical advice and should not be used for diagnosis or treatment.