Adrenal Screening Questionnaire
The below form has been designed to assess your adrenal function by asking you to rate a number of symptoms that are commonly associated with adrenal dysfunction.

Please tick the responses below that best describe your symptoms.

Please note the results of this questionnaire will not be used alone, but rather along with information from your consultation and any relevant pathology testing to make an accurate diagnosis.

If you have any queries about any question on this form, please don't hesitate to contact the practice.
Phone: (07) 3143 3688

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