diVa Quiz Step 1 of 2 50% Could your feminine health be improved? Take our 30-second quiz to find out. Do you experience vaginal dryness?*YesNoDo you experience itching or burning due to vaginal dryness?*YesNoDo you leak urine when you laugh, sneeze, cough, or exercise?*YesNoDo you have an overproduction of vaginal fluid or discharge?*YesNoDo you need to use lubrication during sex?*YesNoIs sex painful for you?*YesNo Yes Conditional LogicThank you for taking our quiz. Dermacare Can Help! Just like every other part of the body, the vagina changes with age or from major events in a your life, such as childbirth, menopause, chemotherapy, or a hysterectomy. diVa™ Laser Vaginal therapy procedure may be a solution to your most intimate challenges such as: • Vaginal dryness • Burning, or itching due to dryness • Leaking urine when you laugh, cough, sneeze, or exercise • Overproduction of vaginal fluid or discharge • Need for supplementary lubrication during intercourse • Pain during intercourse YES! I am interested in a complimentary consultation to see if diVa could improve my vaginal health.Name*Email* Cell Phone Number*Best Day (Choose all that apply.)* Monday Tuesday Wednesday Thursday Friday Saturday Best Time (Choose all that apply.)* Morning Afternoon No Conditional LogicThank you for taking our quiz. Dermacare Can Help!Dermacare can help with your skin and body contouring goals. Call our office for your free consultation (757-547-7546) or fill out this form and we'll send you more information. Name*Email* Phone*CAPTCHANameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.