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FREE Thyroid Screen

    Thank you so much for filling this out prior to your appointment. Your responses to the questions below form an important part of the medically developed Thyroid Screening and will assist your practitioner with assessing your symptoms accurately. We really appreciate you taking the time to fill it out

    Rate each of your symptoms below on a severity of 0 to 3 (0 = None and 3 = Severe).

    HYPOTHYROID SYMPTOMS

    HYPERTHYROID SYMPTOMS