Female Hormone Survey for Point Lumineux * 1. Do you experience Hot flashes/ night sweats? Yes No OK * 2. Do you experience vaginal Dryness Yes No OK * 3. Are you feeling depressed, moody, irritable, anxiety, depression, or have mood swings? Yes No OK * 4. Do you have breast swelling or tenderness? Yes No OK * 5. Foggy thinking, short term memory loss, or memory lapses? Yes No OK * 6. Do you experience low libido? Yes No OK * 7. Cravings for sweets, sugar, and carbohydrates? Yes No OK * 8. Loss of muscle mass and or bone loss? Yes No OK * 9. Loss of hair or excessive facial or body hair, thinning skin, acne, or oily skin? Yes No OK * 10. Infertility? Yes No OK DONE