Guided Questionnaire

Hormone Signs & Symptom Screening

Select your sex at birth to load either the female or male questionnaire, then rate each symptom from 0 to 5. Your answers are delivered securely to our hormone consultant pharmacists so they can review your answers, discuss your results, and help you plan the next steps toward hormonal balance.

  • Live progress trackerKnow how many questions remain at all times.
  • Auto-save & resumeWe store answers locally if you close the tab or time out.
  • Secure email deliveryResults go directly to compounding@awardpharmacies.com for review.

Symptom ratings and contact details save locally on this device so you can pause and return later. They stay on your browser until you submit the chart or clear them.

Current assessment: Sex at Birth - Female

Need the other questionnaire? Return to the Take the Test section to choose again.

Progress

Question 1 of 54

0 answered · 54 remaining

Completion0%

Subjective Symptom

Breakouts or Skin Issues

Medical term: Acne

Pimples, blackheads, or other skin blemishes on your face, back, or chest

Rate how strongly you experience this symptom (0 = no concern, 5 = very severe).