Health Calculators — Rockford Pulmonary Clinic
🌸 Women's Midlife Health
Menopause Symptom Score
Rate each symptom over the past 4 weeks to understand your symptom burden.
🌡️
Vasomotor Symptoms
Heat and sweating symptoms
None
Mild
Mod
Severe
🧠
Psychological & Cognitive
Mood, memory, and mental well-being
None
Mild
Mod
Severe
💪
Physical Symptoms
Body aches, energy, and physical changes
None
Mild
Mod
Severe
🌙
Sleep & Sexual Health
Rest quality and intimacy concerns
None
Mild
Mod
Severe
📋
A Bit About You
Your Symptom Assessment
Based on your responses over the past 4 weeks
—
out of 63
Score by Category

Ready to feel like yourself again?

Our Women's Midlife Metabolic & Peptide Program is designed to address exactly these symptoms with a personalized, evidence-based approach.

Book a Consultation →

Clinical Disclaimer: For educational purposes only. Not a medical diagnosis. Please consult a qualified healthcare provider.

🔬 Metabolic Health
Metabolic Risk Assessment
Answer a few quick questions to understand your metabolic risk profile.
📏
Body Measurements
Used to calculate BMI and abdominal risk
yrs
in
e.g. 5'5" = 65 inches
lbs
in
Measure at navel, relaxed
🧪
Recent Lab Values
Leave blank if unknown
mg/dL
Normal <100 · Pre-DM 100–125
%
Normal <5.7 · Pre-DM 5.7–6.4
mg/dL
mg/dL
Women <50 is low · Men <40
🏃
Lifestyle & Medical History
Risk factors that influence metabolic health
Your Metabolic Risk Profile
Based on your inputs — not a medical diagnosis
LowModerateElevatedHigh
—
Risk Points
—
—
Key Findings

Take control of your metabolic health

Our Women's Midlife Metabolic Program offers comprehensive metabolic testing, personalized nutrition protocols, peptide therapy, and ongoing monitoring.

Schedule a Metabolic Consultation →

Clinical Disclaimer: Screening tool for educational purposes only. Does not diagnose any condition. Consult a qualified healthcare provider.

Medicine for the Modern Woman

Nafsi 360

The executive physical, led by one physician.
One visit. Leave with answers.

Sleep, breathing, heart, hormones, bones, strength, digestion and cognition, brought together in one physician-led evaluation.

The meaning of the name

Nafsi means “my self.”

nafsthe self
nafasthe breath

In Arabic and Urdu, nafs is the self and nafas is the breath. Both come from the same root.

Dr. Nafsi is a pulmonologist who also treats sleep, hormonal and metabolic conditions. Her name describes her medicine: how you breathe and sleep shapes how you think, feel and age.

Nafsi 360 looks at all of it, together, in one visit. Your whole self, measured.

Know your numbers

The numbers on your card, and why they matter.

Each one tells us something different. Together they show how your body is working as a whole.

TSH, hormone levelsHormones

Thyroid and hormone balance shape energy, mood, sleep and weight.

A1c, fasting glucoseMetabolism

Your average blood sugar over three months, and how your body handles it.

Body fat %, lean massBody composition

Muscle protects metabolism, strength and bone. The scale cannot show it.

T-scoreBone density

Bone strength, which changes quickly in the years around menopause.

Apnea index (AHI)Sleep

How often breathing pauses during sleep, and what it does to your oxygen.

FEV1, lung capacityBreathing

How well your lungs move air, read by a pulmonologist.

LDL, blood pressureHeart

The two measures most closely tied to long-term heart and vascular health.

Cognitive scoreBrain

A brief screen of memory, focus and mood.

Your own targets are set with Dr. Nafsi, based on your history and results.

The evaluation

Eight areas of your health. One physician.

A comprehensive evaluation of your health, whether you are well or have concerns. Every test is selected, interpreted and explained by Dr. Nafsi.

Hormones and metabolism

Advanced laboratory testing with a full thyroid panel.

Sleep

A home sleep study, interpreted by a sleep physician.

Breathing

Pulmonary function testing, with CT screening when indicated.

Heart

Cardiovascular risk assessment, with calcium CT when indicated.

Bones

Bone density scan.

Body composition

Styku 3D body composition analysis: visceral fat, lean mass and circumferences.

Brain

Cognitive and mood screening.

Digestive health

A digestive health review, with colon cancer screening ordered when due.

How it works

Testing first. Then one visit.

Before your visit

  • Advanced laboratory panelCollected at home or at a laboratory near you.
  • Home sleep studyOne night, at home.
  • Imaging, when indicatedOrdered for you.

Your visit

  • Examination and testingPhysical examination, body composition and lung function.
  • Nutrition assessmentGoals set with our dietitian.
  • Consultation with Dr. NafsiEvery result reviewed with you.

You leave with

  • The Nafsi BlueprintYour findings, what they mean, and written recommendations for your health.
  • A strength training planResistance training to build and preserve muscle.
  • A follow-up at eight weeksTo review any prescription we start.
Investment

Clear pricing. No membership.

Nafsi 360
$3,950
One fee. Everything included.
  • No membership. No monthly fee.
  • Take your plan to your own physician, or continue with Dr. Nafsi one visit at a time.
  • GlycanAge biological age testing is an optional addition.
  • Medications, including GLP-1 therapy, are billed separately when prescribed.
  • Cash-pay, with costs known upfront. May be eligible for HSA or FSA funds.
Hormone replacement therapy

The conversation most women never had.

For more than two decades, modern hormone therapy has been one of the most misunderstood tools in women’s medicine. The science has moved. Started in midlife, with the right formulation, hormone therapy has a far cleaner risk profile than the 2002 headlines suggested.

Formulation

Body-identical. Transdermal.

Patches, creams and gels. Bypasses the liver. The modern standard.

Timing

Begun in midlife.

Starting in your 40s or 50s carries a different risk profile than starting later.

Management

Adjusted on data.

Re-tested and adjusted at follow-up. The protocol evolves with you.

Decision

Made together.

Your individual risk picture is reviewed before any prescription.

A note on testosterone pellets. Pellets are not FDA-approved for women, produce levels well above the normal range, and cannot be adjusted once implanted. The 2019 Global Consensus recommends against them. We use compounded transdermal cream, which is titratable, reversible and consistent with current guidelines.

After your evaluation

What we treat.

Every protocol follows published clinical guidelines.

Hot flashes and night sweats

FDA-approved transdermal estradiol first-line.

NAMS 2022

Vaginal health and UTI

Vaginal estrogen first-line for genitourinary symptoms.

AUA / CUA 2022

Bone health

Bone density screening, FRAX, estrogen therapy, vitamin D and treatment when needed.

USPSTF

Fatigue and energy

Sleep apnea, thyroid, iron and insulin resistance. Root cause first.

Sleep expertise

Weight and metabolic care

Metabolic optimization, GLP-1 therapy for qualifying patients, Styku tracking.

AACE 2023

Sleep and breathing

Managed by Dr. Nafsi. No referral needed.

Pulmonary and sleep

Sexual health and desire

Transdermal testosterone at physiologic dosing. No pellets.

Global Consensus 2019

Thyroid

Free T4, free T3 and antibodies.

ATA / AACE

Hair, skin and specialist care

Hair loss and skin changes assessed, with referral for lymphedema, lipedema and hair restoration.

Coordinated care
Why this practice

One physician who sees the whole picture.

Sleep medicine built in

A board-certified pulmonary and sleep physician. Your sleep study is managed personally.

Diagnostics in house

Lung function testing and Styku 3D body composition, in the same clinic as your visit.

Strictly evidence-based

Published guidelines, licensed pharmacies, FDA-approved therapies first. No pellets.

Full transparency

One published fee. No membership. No surprises.

Time with your physician

Your consultation is with Dr. Nafsi herself, with every result explained.

The whole picture

Hormones, sleep, breathing and metabolism, treated as one system.

Dr. Tabassum Nafsi
Your physician

Dr. Tabassum Nafsi.

MDFCCPInternal MedicinePulmonary MedicineCritical CareMenopause Practitioner

Triple board-certified in Internal Medicine, Pulmonary Medicine and Critical Care, and a Menopause Practitioner, with twenty years of clinical experience.

She founded The Nafsi Institute to treat sleep, hormones and metabolism as the single integrated system they are. Appointments are limited each month so that every Nafsi 360 visit is led by Dr. Nafsi herself.

Common questions

Before you arrive.

Who is Nafsi 360 for?

Professionals, business owners and executives who want a thorough evaluation without a series of referrals. It is centered on women’s health, and men are welcome.

What is included?

Advanced laboratory testing with a full thyroid panel, a home sleep study, lung function testing, Styku 3D body composition, bone density, cardiovascular risk assessment, cognitive and mood screening, a digestive health review, a physical examination, a nutrition assessment with our dietitian, a consultation with Dr. Nafsi, your written Nafsi Blueprint, a strength training plan, and a follow-up at eight weeks. Imaging such as calcium CT or lung CT is ordered when indicated.

Is there a membership?

No. There is one fee for the evaluation. Any visit afterward is your decision, one visit at a time.

Do you accept insurance?

Nafsi 360 is cash-pay, with one published fee. It may be eligible for HSA or FSA funds. Prescriptions go through standard pharmacies and may be billed to your insurance.

Does it replace my primary care physician?

No. Nafsi 360 complements the care you already receive. Your Blueprint is written so that you can share it with your physician.

Is hormone replacement therapy safe?

For healthy women under 60, the benefits generally outweigh the risks, according to the Menopause Society. We use FDA-approved transdermal estradiol, which avoids the clot risk of oral estrogen. Your individual risk picture is reviewed before any prescription.

What is GlycanAge?

A blood test that estimates your biological age, how your body is functioning compared with the age on your driver’s license. It is available as an optional addition to your evaluation.

Can I start GLP-1 medication here?

Yes. Semaglutide and tirzepatide are available for qualifying patients and billed separately. Dr. Nafsi manages titration and tracks body composition with Styku.

How do I reserve?

Call the Institute. A brief conversation confirms that the evaluation suits your needs, and then your date is held.

When you’re ready

Know your numbers.

One visit. A complete picture. A written plan, built around you.

815.566.7781
contact@rockfordpulmonaryclinic.com
The Nafsi Institute, 6078 Palo Verde Drive, Suite 4, Rockford, Illinois 61114
© 2026 The Nafsi Institute · Rockford Pulmonary Clinic · Medicine for the Modern Woman
Asthma Control Questionnaire

Get Started

This questionnaire will ask a series of questions about your asthma symptoms over the last 4 weeks.

Who are you taking this test for?

How to take the Asthma Control Test™


Step 1
Answer the five questions asked. For each question, make sure you read all five possible answers before choosing the best one for you.

Step 2
Complete the test by clicking 'SUBMIT.'

Step 3
If your score is 19 or less, talk to your physician for better control of Asthma.
01

In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home?

0
02

During the past 4 weeks, how often have you had shortness of breath?

0
03

During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?

0
04

During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?

0
05

How would you rate your asthma control during the past 4 weeks?

0

Epworth Sleepiness Scale

Screen for excessive sleepiness or follow response to treatment for a sleep disorder
About:

Please answer the questions to the best of your ability. This will give us a score which is suggestive of excessive sleepiness. 

01

Chance of dozing off while sitting and reading?

0
02

Chance of dozing off while watching TV?

0
03

Chance of dozing off while Sitting, inactive in a public place?

0
04

Chance of dozing off as a passenger in a car for an hour without a break? ?

0
05

Chance of dozing off while lying down to rest in the afternoon when circumstances permit?

0
06

Chance of dozing off while sitting and talking to someone?

0
07

Chance of dozing off while sitting quietly after lunch without alcohol?

0
08

Chance of dozing off while in a car, while stopped for a few minutes in traffic?

0

Lung Cancer Screening

“*” indicates required fields

If you answered yes to all three questions, you are at high risk for lung cancer. Please contact your doctor for lung cancer screening CT chest or call RPC to schedule one.