• Ready to Reclaim Your Energy, Balance & Hormone Health?

  • Is Personalized Hormone Care Right for Me?

     

    Take This 5-Minute Assessment to See If Hormone Optimization Is Your Next Step

    This short self-assessment helps us determine whether you're a strong candidate for personalized hormone care through our partnership with Amanda Spaak, NP—a Nurse Practitioner with 19 years of experience who specializes in Functional Medicine and root-cause hormone optimization.

    If you check multiple symptoms or score high in key hormone categories, you may be an ideal fit to begin our proven 6-step process—a comprehensive approach designed to help you feel like your best self again.

     


    🌿 Not Feeling Like Yourself?

    This quick assessment can help you identify whether a hormone imbalance may be the root cause of your symptoms. Simply check off what you're experiencing—your total score will help guide whether lifestyle support or expert hormone care is the best next step.

     

    Let's get started!

  • Format: (000) 000-0000.
  • Have You Used BHRT or Hormone Therapy Before?*
  • Symptom Checklist (Check All That Apply to You) - LOW Progesterone*
  • Symptom Checklist (Check All That Apply to You) - HIGH Testosterone*
  • Symptom Checklist (Check All That Apply to You) - HIGH Estrogen*
  • Symptom Checklist (Check All That Apply to You) - LOW Estrogen
  • Symptom Checklist (Check All That Apply to You) - LOW ANDROGEN (Testosterone/ DHEA)
  • Symptom Checklist (Check All That Apply to You) - LOW Thyroid
  • Symptom Checklist (Check All That Apply to You) - Cortisol Imbalance (Adrenal Fatigue)

  • Total Score

    Add up your score from each category. Score less than 5: Likely not a hormone imbalance issue.  Score [5-10]: Hormone imbalance may be at play. Lifestyle changes recommended. A BHRT consultation could be helpful.Score Greater Than [10]: Hormone imbalance likely—lifestyle changes and BHRT consult recommended.
  • What Are Your Biggest Concerns? (Check all that apply)
  • Are You Ready to Take Action?*

  • 🔎 What Happens Next?

    If your score indicates a hormone imbalance, you may be an excellent candidate for BHRT—and we're ready to help you take the next step.

     

    📩 Check Your Inbox
    Within minutes of submitting this questionnaire, you'll receive an automated email with a link to begin your full intake process. This includes:

    • A $50 initial deposit (applied toward your future consultation)
    • A complete demographic and health profile assessment
    • Your formal entry into our 6-step hormone care journey with Amanda Spaak, FNP'


    🗺️ Your 6-Step Hormone Care Journey
    Once your deposit and intake are complete, here's the roadmap you'll follow—designed to remove the guesswork and deliver lasting results:

     

    1️⃣ Tell Us What You're Feeling – Complete your comprehensive health evaluation and hormone symptom intake. This becomes the foundation for your personalized plan.

    2️⃣ Lab Testing—Made Simple – Amanda will send personalized lab instructions through Rupa Health ($355 Female Functional Wellness Panel), including blood work at Quest Diagnostics and an at-home ZRT saliva cortisol test.

    3️⃣ Your Personalized Treatment Plan – Once labs return (7–14 days), Amanda will meet with you for a 75-minute comprehensive consultation, virtual or in-person in Fort Collins. ($350 total—your $50 deposit is applied, leaving $300.)

    4️⃣ 4–6 Week Follow-Up Check – A 30-minute follow-up to fine-tune your protocol based on how you're feeling. ($150)

    5️⃣ Ongoing Optimization – Amanda continues monitoring your progress and adjusting your plan as your needs evolve.

    6️⃣ Additional Support (As Needed) – Annual reviews are required for BHRT patients, with optional 30-minute check-ins available whenever you need support.

     

    👩‍💻 Stay in the Loop
    To make sure you don't miss your next step, please add consulting@gooddaypharmacy.com to your safe sender list. Your intake email should arrive within a few minutes of completing this form.

     

    📌 Ready to Take Control of Your Health?
    Amanda Spaak, FNP, will guide you the entire way—no guesswork, no overwhelm, just clarity and results. Watch your inbox for your next step!

  • Should be Empty: