Every person experiences the menopause in their own unique way, with different symptoms affecting life in different ways. Consider how each of the following physical symptoms affects you and to what degree.
Rate the following symptoms on a scale of 1 to 10, with 1 being not affect at all and 10 being that it affects you in a major way daily.
Beyond the physical symptoms as discussed in the last section, the menopause canalso impact us emotionally and mentally. Consider the following emotional and mental symptoms of the menopause and consider to what scale you have experience these and how they have impacted your daily life.
Rate each symptom from 1 to 10, 1 being no experience/no impact, 10 being major experience/major impact.
In this section we will ask about your concerns, expectations and hopes for your menopause experience. Please give as much information as you feel comfortable expressing in order to allow us to help you with your journey.
Thank you for completing this questionnaire, I appreciate the time that you have taken to share your thoughts with me.
I aim to respond to each application in person within 2 working days, so please bear with me.
Please make sure that you keep a look out for my response in your inbox, and remember to check your spam file.
Thanks again, and I look forward to speaking with you soon.
Womens Well-Being Practitioner