BACK Menopause Analysis 12 Aug, 2020 Welcome to your Menopause Analysis Name Email Phone How old are you?Under 3030-4546-5960+HeightWeight WeightPRE, PERI, MENOPAUSE, POSTMENOPAUSE AND AGE RELATED SYMPTOMS Please indicate how bothered you are now and in the past few weeks by any of the following: Hot flushes?DailyOccasionallyRarelyNeverNight sweats?DailyOccasionallyRarelyNeverHave difficulty getting to sleep?DailyOccasionallyRarelyNeverHave difficulty staying asleep?DailyOccasionallyRarelyNeverGet heart palpitations or a sensation of butterflies in my chest or stomach?DailyOccasionallyRarelyNeverFeel like my skin is crawling or itching?DailyOccasionallyRarelyNeverFeel more tired than usual?DailyOccasionallyRarelyNeverHave difficulty concentrating?DailyOccasionallyRarelyNeverPoor memory?DailyOccasionallyRarelyNeverMore irritable than usual?DailyOccasionallyRarelyNeverMore anxious than usual?DailyOccasionallyRarelyNeverMore depressed moods?DailyOccasionallyRarelyNeverHaving mood swings?DailyOccasionallyRarelyNeverCrying spells?DailyOccasionallyRarelyNeverHeadaches?DailyOccasionallyRarelyNeverI need to urinate more often than usualDailyOccasionallyRarelyNeverI leak urineDailyOccasionallyRarelyNeverI have pain or burning when urinatingDailyOccasionallyRarelyNeverI have bladder infectionsDailyOccasionallyRarelyNeverI have uncontrollable loss of stool or gasDailyOccasionallyRarelyNeverWeight Information Are you happy with your weightYesSomewhatNoVery unhappyVaginal dryness?DailyOccasionallyRarelyNeverVaginal itching?DailyOccasionallyRarelyNeverAbnormal vaginal discharge?DailyOccasionallyRarelyNeverVaginal infections?DailyOccasionallyRarelyNeverAbout YouYour new question!How many times a day do you eat pasta, rice, pastries, croissants, cakes, biscuits, pizzas, bread, cereals, rolls?NoneOneTwoMore than 2Internal pain during intercourse?All the timeOccasionallyRarelyNeverBleeding after intercourse?All the timeOccasionallyRarelyNeverLack of desire or interest in sexual activity?All the timeOccasionallyRarelyNeverDifficulty achieving orgasm?All the timeOccasionallyRarelyNeverMy opportunity for sexual activity is limited?DailyOccasionallyRarelyNeverMy stomach feels like it’s bloated or I’ve gained weight?DailyOccasionallyRarelyNeverI have breast tendernessDailyOccasionallyRarelyNeverI have joint painsDailyOccasionallyRarelyNeverWEIGHT INFORMATION: Are you happy with your weight?YesSomewhat happyNoVery unhappyHave you always been overweight?NoSomewhatYes as an adultAll my lifeHow do you feel about your weight?ComfortableConcernedWorriedFrustratedHow have you felt about your weight in the past?Never an issueSometimes an issueOften a worryAlways an issueAre you prepared to reshape your lifestyle to achieve your health and weight goals?Don’t want to changeWill look at small changesReady to make some changesTotally committed to do whatever I need toTime is Up!