Analyzing your responses…
🌸

Women's Health & Menopause Assessment

A clinically-informed, confidential assessment designed by Dr. Hanif to understand your symptoms and guide your personalized care journey at our Manhattan practice.

👩‍⚕️
Dr. Hanif
Board Certified Physician
Women's Health & Longevity Specialist · Manhattan, NYC
🔒Confidential
5–8 minutes
🩺Board Certified
📍Manhattan, NYC
Step 1 of 7 · About You

What is your current age?

Age helps us contextualize your hormone patterns and symptom profile.

Under 35
35 – 44
45 – 54
55 – 64
65 or older
Step 2 of 7 · Menstrual History

Where are you in your menopause journey?

This helps us determine which stage of hormonal transition applies to you.

Still having regular periods
Premenopause
Irregular periods or changes noticed
Perimenopause
No period for 12+ months
Menopause
Several years past menopause
Postmenopause
Surgical or medically-induced menopause
Not sure
Step 3 of 7 · Physical Symptoms

Rate your physical symptoms

Over the past 4 weeks, how much have these bothered you? 0 = not at all, 4 = very severely.

🌡️Hot flashes / hot flushes
None
Severe
💦Night sweats
💤Sleep disturbances
🦴Joint / muscle pain
Step 4 of 7 · Emotional & Cognitive

Rate your emotional & cognitive symptoms

Over the past 4 weeks — 0 = not at all, 4 = very severely.

😔Mood changes / irritability
None
Severe
😟Anxiety / nervousness
🧠Brain fog / memory lapses
😩Fatigue / low energy
Step 5 of 7 · Intimate Health

Rate your intimate health symptoms

These are among the most treatable symptoms — please answer candidly. 0 = not at all, 4 = very severely.

💧Vaginal dryness / discomfort
None
Severe
❤️Low libido / reduced sexual desire
🚽Urinary urgency / incontinence
Step 6 of 7 · Visit Preference

How would you prefer to be seen?

We offer both in-office and telehealth consultations for your convenience.

In-person visit at the clinic
Dr. Syra Institute, Manhattan NYC
Telehealth / video visit
Available in NY, NJ & CT
No preference — either works
Step 7 of 7 · Your Information

See your personalized results

Enter your information to receive your full symptom analysis and care recommendations. Your provider will be notified to follow up.

Self-Pay Notice: Dr. Syra Aesthetics & Longevity Institute offers transparent self-pay pricing for all menopause consultations in Manhattan. Insurance is not accepted for hormone wellness services. Pricing will be discussed during your consultation.

By submitting, you agree to be contacted by our care team. Results are informational only and do not constitute medical advice.

Your Personalized Results

Good morning

Mild

Your symptom burden is mild

Based on the Greene Climacteric Scale framework, your total MRS score indicates a manageable but meaningful symptom load.

Somatic
0
/ 16
Psychological
0
/ 16
Urogenital
0
/ 12

Your Most Notable Symptoms

Recommendations for You

👩‍⚕️
Dr. Hanif
Board Certified · Women's Health Specialist

Ready to feel like yourself again?

Dr. Hanif and the team at our Manhattan practice are ready to create your personalized hormone care plan — from HRT and aesthetics to GLP-1 and longevity support.

Book with Dr. Hanif →

Same-week consultations available · Self-pay · Transparent pricing

This assessment is for informational purposes only and does not constitute a medical diagnosis. Please consult a licensed provider for personalized medical advice.

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