Female Health Assessment
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Physical Exhaustion
Very Severe
Severe
Moderate
Mild
None
Fatigue, lack of energy, stamina, or motivation
Sleep Problems
Very Severe
Severe
Moderate
Mild
None
Difficulty falling asleep or difficulty sleeping through the night
Irritability
Very Severe
Severe
Moderate
Mild
None
Mood swings, feeling aggressive, easily angered
Anxiety
Very Severe
Severe
Moderate
Mild
None
Feeling overwhelmed, panicky, or nervous
Decline in drive or interest
Very Severe
Severe
Moderate
Mild
None
Loss of "zest for life," feeling down or sad
Joint and Muscular Symptoms
Very Severe
Severe
Moderate
Mild
None
Joint pain, muscle weakness, poor recovery after exercise
Difficulties with memory
Very Severe
Severe
Moderate
Mild
None
Concentration, finding the right word, or retaining information
Vaginal dryness or difficulty with sexual intercourse
Very Severe
Severe
Moderate
Mild
None
Sexual Problems
Very Severe
Severe
Moderate
Mild
None
Change in desire, activity, orgasm and/or satisfaction
Sweating
Very Severe
Severe
Moderate
Mild
None
Night sweats or increased episodes of sweating
Hot Flashes
Very Severe
Severe
Moderate
Mild
None
Burst that starts in chest and lasts for short duration
Hair loss, thinning, or change in texture of hair
Very Severe
Severe
Moderate
Mild
None
Feeling cold all the time, having cold hands or feet
Very Severe
Severe
Moderate
Mild
None
Headaches or Migraines
Very Severe
Severe
Moderate
Mild
None
Increase in frequency or intensity
Weight
Very Severe
Severe
Moderate
Mild
None
Difficulty losing weight despite diet/exercise
Bladder problems
Very Severe
Severe
Moderate
Mild
None
Difficulty in urinating, increased need to urinate, incontinence
Other symptoms or unique health circumstances to take into consideration
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