10887 North Military Trail, Suite 7Palm Beach Gardens, FL 33410Hours: Monday-Friday 9am-5pm
FOR MALE PATIENTS ONLY
Please rate on a scale from 1-5 the following with 1 being the worst and 5 being the best
FOR FEMALE PATIENTS ONLY
FOR BOTH MEN AND WOMEN
Please select yes or no if you are experiencing any of the following symptoms, regardless if you are on hormone replacement therapy or not.