UFE Assessment

1. Have you experienced heavy bleeding or passing blood clots during your menstrual period?

2. Have you noticed fluctuations in menstrual cycle duration or length?

3. Are you noticing pelvic tightness or pressure, constipation, and frequent urination?

4. Are you experiencing increased fatigue?

Thank you for completing the assessment.

Please provide us with your contact information, so we can give you a call back.
Your privacy is very important to us. We will not share your information outside of our practice.