Please answer the following questions. You will have an opportunity to review your answers before sending them to us. If you see something highlight in pink, it means that the question must be corrected.

Menopausal Symptoms

When you first completed your New Patient Form, you indicated your top three most troublesome menopausal symptoms prior to commencing this treatment.

Could you please complete this survey and indicate a new "rate" for the SAME THREE SYMPTOMS. (see email details to confirm what were your top 3 symptoms)

QU: When the Pellet is working at "it's best", how would you now rate the severity of your top three symptoms? i.e. how you feel approx one month after your treatment?

Please use the drop-down menu to choose the SAME THREE most troublesome menopausal symptoms that you originally choose (mentioned in your email). To do this put your cursor on the down arrow and choose a symptom from the list. Then, rate how strong your symptom is, with 1 being 'very mild' and 10 being 'very severe'.