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Dr. Donnica's Healthy Women Over 40 Decisionnaire

If you are a woman over age 40 and if any of the following items can be checked, it's time to schedule your next doctor's appointment!

___   I have not had a check-up in more than a year.
___   I have not had a Pap smear in more than a year.
___   I have not yet had a mammogram.
___   I have not had my blood pressure checked in more than a year.
___   I have not had my cholesterol tested in more than 3 years.
___   I am not comfortable with my choice of contraception.
___   I am a smoker and I need help to quit.
___   I have not had a pelvic exam in more than a year.
___   I have not had a rectal exam in more than a year.
___   I have not had a breast exam in more than a year.
___   I feel anxious or depressed much of the time.
___   I feel like I am starting to have symptoms of menopause.
___   I have problems getting to sleep or staying asleep.

Click here for more information on staying healthy.

Click here for more information about depression or other mental health issues.


Created: 9/22/2000  -  Donnica Moore, M.D.



 If you are a woman over age 40 and if any of the following items can be checked, itís time to schedule your next doctorís appointment! 


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