Assessment Quiz

BioTe®  Assessment Quiz

The Power of Hormone Replacement Therapy in Sugar Land, TX.

Hormones can rejuvenate, regenerate and restore. They are powerful chemical messengers that circulate throughout the body and travel to specific cells to orchestrate many vital internal functions. But even a small fluctuation in hormone levels can cause big changes at the cellular level—or disrupt the delicate balance throughout your entire body. Too much or too little of a hormone can have serious consequences for your overall health and well-being.

After hormone optimization, patients report back to their BioTE® trained practitioner, that it’s amazing something so small can make a huge difference in your life. Studies have shown, balanced hormones are essential for good health and disease prevention as we age. BioTE® optimizes hormone levels with tiny pellets just under the skin.

Hormone pellets release all-natural, bio-identical estrogen and/or testosterone which is metabolized consistently into the body as needed.

This is a general assessment with overall results. We offer a detail lab assessment and hormone evaluation at the the comfort of our practice with more thorough and detailed results. Your assessment information is confidential and is used for your evaluation only. If you have any questions please call (281) 242-1400.

<div class="wpb_column vc_column_container vc_col-sm-6"><div class="vc_column-inner vc_custom_1506459846536"><div class="wpb_wrapper"><h2 style="color: #d2165d;text-align: left" class="vc_custom_heading" >Hormone Optimization and Hormone Therapy Evaluation. Please fill the following information.</h2><!-- [et_pb_line_break_holder] --> <div class="wpb_text_column wpb_content_element " ><!-- [et_pb_line_break_holder] --> <div class="wpb_wrapper"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class='gf_browser_chrome gform_wrapper' id='gform_wrapper_1' ><form method='post' enctype='multipart/form-data' id='gform_1' action='/biote-assessment-quiz/'><!-- [et_pb_line_break_holder] --> <div class='gform_heading'><!-- [et_pb_line_break_holder] --> <h3 class='gform_title'>Female BioTE Quiz</h3><!-- [et_pb_line_break_holder] --> <span class='gform_description'>BioTE hormone assessment quiz</span><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class='gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_1' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_1_1_3' >Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_1_1'><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <span id='input_1_1_3_container' class='name_first' ><!-- [et_pb_line_break_holder] --> <label for='input_1_1_3' >First</label><!-- [et_pb_line_break_holder] --> <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-label='First name' tabindex='2' aria-required="true" aria-invalid="false" /><!-- [et_pb_line_break_holder] --> </span><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <span id='input_1_1_6_container' class='name_last' ><!-- [et_pb_line_break_holder] --> <label for='input_1_1_6' >Last</label><!-- [et_pb_line_break_holder] --> <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-label='Last name' tabindex='4' aria-required="true" aria-invalid="false" /><!-- [et_pb_line_break_holder] --> </span><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> </div></li><li id='field_1_3' class='gfield field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_3' >Phone</label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_1_3' type='text' value='' class='medium' tabindex='6' aria-invalid="false" /></div></li><li id='field_1_4' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_1_4' >Email<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'><!-- [et_pb_line_break_holder] --> <input name='input_4' id='input_1_4' type='text' value='' class='medium' tabindex='7' aria-required="true" aria-invalid="false"/><!-- [et_pb_line_break_holder] --> </div></li><li id='field_1_6' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Fatigue<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_6'><li class='gchoice_1_6_0'><input name='input_6' type='radio' value='Never' id='choice_1_6_0' tabindex='8' /><label for='choice_1_6_0' id='label_1_6_0'>Never</label></li><li class='gchoice_1_6_1'><input name='input_6' type='radio' value='Mild' id='choice_1_6_1' tabindex='9' /><label for='choice_1_6_1' id='label_1_6_1'>Mild</label></li><li class='gchoice_1_6_2'><input name='input_6' type='radio' value='Moderate' id='choice_1_6_2' tabindex='10' /><label for='choice_1_6_2' id='label_1_6_2'>Moderate</label></li><li class='gchoice_1_6_3'><input name='input_6' type='radio' value='Severe' id='choice_1_6_3' tabindex='11' /><label for='choice_1_6_3' id='label_1_6_3'>Severe</label></li></ul></div></li><li id='field_1_7' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Mood Changes: Irritability, Anxiety, Nervousness / Depression<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_7'><li class='gchoice_1_7_0'><input name='input_7' type='radio' value='Never' id='choice_1_7_0' tabindex='12' /><label for='choice_1_7_0' id='label_1_7_0'>Never</label></li><li class='gchoice_1_7_1'><input name='input_7' type='radio' value='Mild' id='choice_1_7_1' tabindex='13' /><label for='choice_1_7_1' id='label_1_7_1'>Mild</label></li><li class='gchoice_1_7_2'><input name='input_7' type='radio' value='Moderate' id='choice_1_7_2' tabindex='14' /><label for='choice_1_7_2' id='label_1_7_2'>Moderate</label></li><li class='gchoice_1_7_3'><input name='input_7' type='radio' value='Severe' id='choice_1_7_3' tabindex='15' /><label for='choice_1_7_3' id='label_1_7_3'>Severe</label></li></ul></div></li><li id='field_1_8' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Hot Flashes: Night Sweats<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_8'><li class='gchoice_1_8_0'><input name='input_8' type='radio' value='Never' id='choice_1_8_0' tabindex='16' /><label for='choice_1_8_0' id='label_1_8_0'>Never</label></li><li class='gchoice_1_8_1'><input name='input_8' type='radio' value='Mild' id='choice_1_8_1' tabindex='17' /><label for='choice_1_8_1' id='label_1_8_1'>Mild</label></li><li class='gchoice_1_8_2'><input name='input_8' type='radio' value='Moderate' id='choice_1_8_2' tabindex='18' /><label for='choice_1_8_2' id='label_1_8_2'>Moderate</label></li><li class='gchoice_1_8_3'><input name='input_8' type='radio' value='Severe' id='choice_1_8_3' tabindex='19' /><label for='choice_1_8_3' id='label_1_8_3'>Severe</label></li></ul></div></li><li id='field_1_9' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Weight Gain: Bloating, Excessive Belly Fat / Inability to Lose Weight<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_9'><li class='gchoice_1_9_0'><input name='input_9' type='radio' value='Never' id='choice_1_9_0' tabindex='20' /><label for='choice_1_9_0' id='label_1_9_0'>Never</label></li><li class='gchoice_1_9_1'><input name='input_9' type='radio' value='Mild' id='choice_1_9_1' tabindex='21' /><label for='choice_1_9_1' id='label_1_9_1'>Mild</label></li><li class='gchoice_1_9_2'><input name='input_9' type='radio' value='Moderate' id='choice_1_9_2' tabindex='22' /><label for='choice_1_9_2' id='label_1_9_2'>Moderate</label></li><li class='gchoice_1_9_3'><input name='input_9' type='radio' value='Severe' id='choice_1_9_3' tabindex='23' /><label for='choice_1_9_3' id='label_1_9_3'>Severe</label></li></ul></div></li><li id='field_1_10' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Decreased Sex Drive: Vaginal Dryness<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_10'><li class='gchoice_1_10_0'><input name='input_10' type='radio' value='Never' id='choice_1_10_0' tabindex='24' /><label for='choice_1_10_0' id='label_1_10_0'>Never</label></li><li class='gchoice_1_10_1'><input name='input_10' type='radio' value='Mild' id='choice_1_10_1' tabindex='25' /><label for='choice_1_10_1' id='label_1_10_1'>Mild</label></li><li class='gchoice_1_10_2'><input name='input_10' type='radio' value='Moderate' id='choice_1_10_2' tabindex='26' /><label for='choice_1_10_2' id='label_1_10_2'>Moderate</label></li><li class='gchoice_1_10_3'><input name='input_10' type='radio' value='Severe' id='choice_1_10_3' tabindex='27' /><label for='choice_1_10_3' id='label_1_10_3'>Severe</label></li></ul></div></li><li id='field_1_11' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Sleep Problems: Can’t Stay Asleep and/or Can’t Fall Asleep<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_11'><li class='gchoice_1_11_0'><input name='input_11' type='radio' value='Never' id='choice_1_11_0' tabindex='28' /><label for='choice_1_11_0' id='label_1_11_0'>Never</label></li><li class='gchoice_1_11_1'><input name='input_11' type='radio' value='Mild' id='choice_1_11_1' tabindex='29' /><label for='choice_1_11_1' id='label_1_11_1'>Mild</label></li><li class='gchoice_1_11_2'><input name='input_11' type='radio' value='Moderate' id='choice_1_11_2' tabindex='30' /><label for='choice_1_11_2' id='label_1_11_2'>Moderate</label></li><li class='gchoice_1_11_3'><input name='input_11' type='radio' value='Severe' id='choice_1_11_3' tabindex='31' /><label for='choice_1_11_3' id='label_1_11_3'>Severe</label></li></ul></div></li><li id='field_1_12' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Cold Hands & Feet / Always Cold<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_12'><li class='gchoice_1_12_0'><input name='input_12' type='radio' value='Never' id='choice_1_12_0' tabindex='32' /><label for='choice_1_12_0' id='label_1_12_0'>Never</label></li><li class='gchoice_1_12_1'><input name='input_12' type='radio' value='Mild' id='choice_1_12_1' tabindex='33' /><label for='choice_1_12_1' id='label_1_12_1'>Mild</label></li><li class='gchoice_1_12_2'><input name='input_12' type='radio' value='Moderate' id='choice_1_12_2' tabindex='34' /><label for='choice_1_12_2' id='label_1_12_2'>Moderate</label></li><li class='gchoice_1_12_3'><input name='input_12' type='radio' value='Severe' id='choice_1_12_3' tabindex='35' /><label for='choice_1_12_3' id='label_1_12_3'>Severe</label></li></ul></div></li><li id='field_1_13' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Hair loss / Breakage<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_13'><li class='gchoice_1_13_0'><input name='input_13' type='radio' value='Never' id='choice_1_13_0' tabindex='36' /><label for='choice_1_13_0' id='label_1_13_0'>Never</label></li><li class='gchoice_1_13_1'><input name='input_13' type='radio' value='Mild' id='choice_1_13_1' tabindex='37' /><label for='choice_1_13_1' id='label_1_13_1'>Mild</label></li><li class='gchoice_1_13_2'><input name='input_13' type='radio' value='Moderate' id='choice_1_13_2' tabindex='38' /><label for='choice_1_13_2' id='label_1_13_2'>Moderate</label></li><li class='gchoice_1_13_3'><input name='input_13' type='radio' value='Severe' id='choice_1_13_3' tabindex='39' /><label for='choice_1_13_3' id='label_1_13_3'>Severe</label></li></ul></div></li><li id='field_1_14' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >Dry Wrinkled Skin<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_14'><li class='gchoice_1_14_0'><input name='input_14' type='radio' value='Never' id='choice_1_14_0' tabindex='40' /><label for='choice_1_14_0' id='label_1_14_0'>Never</label></li><li class='gchoice_1_14_1'><input name='input_14' type='radio' value='Mild' id='choice_1_14_1' tabindex='41' /><label for='choice_1_14_1' id='label_1_14_1'>Mild</label></li><li class='gchoice_1_14_2'><input name='input_14' type='radio' value='Moderate' id='choice_1_14_2' tabindex='42' /><label for='choice_1_14_2' id='label_1_14_2'>Moderate</label></li><li class='gchoice_1_14_3'><input name='input_14' type='radio' value='Severe' id='choice_1_14_3' tabindex='43' /><label for='choice_1_14_3' id='label_1_14_3'>Severe</label></li></ul></div></li><li id='field_1_21' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >FAMILY HISTORY / Heart Disease<span class='gfield_required'>*</span></label><div class='gfield_description'> (Please Chose "Yes" or "No" )</div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_21'><li class='gchoice_1_21_0'><input name='input_21' type='radio' value='YES' id='choice_1_21_0' tabindex='44' /><label for='choice_1_21_0' id='label_1_21_0'>YES</label></li><li class='gchoice_1_21_1'><input name='input_21' type='radio' value='NO' id='choice_1_21_1' tabindex='45' /><label for='choice_1_21_1' id='label_1_21_1'>NO</label></li></ul></div></li><li id='field_1_22' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >FAMILY HISTORY / Diabetics<span class='gfield_required'>*</span></label><div class='gfield_description'> (Please Chose "Yes" or "No" )</div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_22'><li class='gchoice_1_22_0'><input name='input_22' type='radio' value='Yes' id='choice_1_22_0' tabindex='46' /><label for='choice_1_22_0' id='label_1_22_0'>Yes</label></li><li class='gchoice_1_22_1'><input name='input_22' type='radio' value='No' id='choice_1_22_1' tabindex='47' /><label for='choice_1_22_1' id='label_1_22_1'>No</label></li></ul></div></li><li id='field_1_23' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >FAMILY HISTORY / Osteoporosis<span class='gfield_required'>*</span></label><div class='gfield_description'> (Please Chose "Yes" or "No" )</div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_23'><li class='gchoice_1_23_0'><input name='input_23' type='radio' value='Yes' id='choice_1_23_0' tabindex='48' /><label for='choice_1_23_0' id='label_1_23_0'>Yes</label></li><li class='gchoice_1_23_1'><input name='input_23' type='radio' value='No' id='choice_1_23_1' tabindex='49' /><label for='choice_1_23_1' id='label_1_23_1'>No</label></li></ul></div></li><li id='field_1_24' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >FAMILY HISTORY / Alzheimer’s Disease<span class='gfield_required'>*</span></label><div class='gfield_description'>(Please Choose "Yes" or "No")</div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_24'><li class='gchoice_1_24_0'><input name='input_24' type='radio' value='Yes' id='choice_1_24_0' tabindex='50' /><label for='choice_1_24_0' id='label_1_24_0'>Yes</label></li><li class='gchoice_1_24_1'><input name='input_24' type='radio' value='No' id='choice_1_24_1' tabindex='51' /><label for='choice_1_24_1' id='label_1_24_1'>No</label></li></ul></div></li><li id='field_1_25' class='gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible' ><label class='gfield_label' >FAMILY HISTORY: Breast Cancer<span class='gfield_required'>*</span></label><div class='gfield_description'>(Please Choose "Yes" or "No")</div><div class='ginput_container ginput_container_radio'><ul 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At Sweetwater OB GYN we are dedicated to provide the most comprehensive obstetric care based upon your health background. Our staff and experienced physicians have decades on the field that ultimately benefit each of our patients under any circumstances. We are here to make your pregnancy experience a remarkable each and every time. Call us today or make an appointment at 281-242-1400 and discover our state of the art facility that will make you feel at home surrounded by those you care.

SWEETWATER OB/GYN ASSOCIATES
281-242-1400