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[caldera_form id="CF582deb6182a30"]

1. Cold Hands
 
 

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Question 1 of 12

2. Cold Feet
 
 

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Question 2 of 12

3. Do you have fatigue?
 
 

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Question 3 of 12

4. Do you feel feverish in the afternoon?
 
 

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Question 4 of 12

5. Do you have heat sensations in your hands, feet, or chest?
 
 

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Question 5 of 12

6. Do you have night sweats?
 
 

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Question 6 of 12

7. Do you have thirst at night?
 
 

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Question 7 of 12

8. Do you catch colds easily or frequently?
 
 

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Question 8 of 12

9. Do you sweat easily?
 
 

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Question 9 of 12

10. Do you have general weakness?
 
 

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Question 10 of 12

11. Do you feel worse after exercise?
 
 

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Question 11 of 12

12. Do you have dizzy or light headed sensations?
 
 

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Question 12 of 12