SYMPTOMS  

  Score 0 - 5

  0- not at all 

 5- severe  

 Comment

  Feeling unhappy 

  Feeling rage 

  Feeling tired or low in energy 

  Difficulty concentrating 

  Memory problems 

  Feeling tense/nervous 

  Loss of interest in things I used to enjoy

  Sudden panic/anxiety 

  Crying spells 

  Feeling depressed/low mood 

  Strong/fast heartbeat 

  Difficulty sleeping 

  Irritability 

  Feeling faint 

  Pressure in head 

  Tinnitus (ringing/buzzing in the ears) 

  Headaches 

  Muscle and joint pain/ache

  Pins and needles 

  Frozen shoulder

  Difficulty breathing 

  Hot flushes 

  Night sweats 

  Reduction/loss of libido

  Sexual discomfort (loss of lubrication)

  Vaginal dryness

  Urinary frequency/ pain when peeing

  Changes in periods/menstrual cycle