Do you feel...
Do you have premenstrual mood swings?
Yes
No
Do you have premenstrual or menopausal food cravings?
Yes
No
Do you experience irregular periods?
Yes
No
Have you ever experienced a miscarriage, an abortion, or infertility?
Yes
No
Have you used birth control pills or other hormone medication?
Yes
No
Do you have uncomfortable periods-cramps, lengthy or heavy bleeding, or sore breasts?
Yes
No
Do you get Peri- or postmenopausal discomfort (hot flashes, sweats, insomnia or mental dullness)?
Yes
No
Do you experience skin eruptions with period?
Yes
No
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