Next, let’s go through your health history.
Do you have any one of the following Medical Conditions? (Check all that apply)
Have you ever been told your liver is not working properly?
Have you ever been told your heart is not pumping properly?
Have you had any of the following surgeries? (Check all that apply)
Have you had a general health check-up or routine physical in the past three years
Please list all medications you are currently taking or using
Please list all allergies you have
Almost done! Next, we have a few medication-specific questions.
What is your primary reason for requesting Trazodone?
Have you ever taken any of the following prescriptions as treatment for sleep issues? (Select all that apply)
Have you ever taken any of the following no-prescriptions as treatment for sleep issues? (Select all that apply)
Do you currently take any prescription medication for sleep, mood, or medications that are commonly used for sleep or mood?
Do you have any concerns about the quality of your sleep? (Select all that apply)
Do you have any concerns about day-time sleepiness? (Select all that apply)
When do you typically go to sleep, and when do you wake up? (example: sleep by 10pm, awake by 6am)
Have you ever been diagnosed with any forms of bipolar disorder, or has it ever been suggested to you that you might have bipolar disorder?
What do you think causes the issues with your sleep? (Select all that apply)
Is the anything else you want your prescriber to know about your condition or health?
All set. Thanks
Recommended Treatment
Testosterone
Physician-selected treatment based on your profile.
$99
