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American Wellness Network

An A-Z Woman's Guide to Vibrant Health

Appendix B

WOMEN’S HEALTH SELF-ASSESSMENT QUESTIONNAIRES

Click the test below for a printable questionnaire

Stress Test to Determine Adrenal Health

Breast Health Self-Assessment

Osteoporosis Questionnaire

Blood Sugar Problem Symptom List

Candida Questionnaire

Symptoms and their associated organ system

Many of the following symptoms, while commonly attributed to perimenopause or menopause, are actually associated with adrenal dysfunction (A), thyroid dysfunction (T), liver congestion (L) and Candida/intestinal problems (C).
  • Acceleration of the aging process – overnight wrinkles appear (T, A)
  • Anxiety or panic attacks (A, C)
  • Bloating and indigestion, gas (T, C)
  • Increase in blood pressure or cholesterol (A, T, L)
  • Bone pain (often associated with osteoporosis/osteopenia) (A)
  • Inability to breathe deeply (air hunger) (A)
  • “Crawly” skin sensations, especially of the lower limbs (restless leg syndrome) (A, L)
  • Low energy (A, T, L, C)
  • Increased facial hair, particularly around the chin and upper lip (A, T, L)
  • Heart palpitations (T, A)
  • Hot feet, worse in bed (L)
  • Hot flushes and/or night sweats (L, C)
  • Insomnia or interrupted sleep (A, T, C, L)
  • Itching around the vaginal area, with or without discharge (C)
  • Joint and muscle aches and pains (L, T)
  • Diminished libido, painful intercourse (A, T)
  • Lightheadedness, dizzy spells, vertigo (A)
  • Memory problems, brain fog (A, C)
  • Mood changes, depression, irritability or anger (L, A)
  • Migraine headaches (L, C)
  • New food or environmental sensitivities or allergies (C, L, A)
  • Urinary incontinence (worse with coughing or laughing) (C)
  • Vaginal or urinary tract infections (C)
  • Weight gain, usually around or on the abdomen, hips, and breasts (T)

This web site is for informational purposes only. Consult your health care practitioner for any medical advice. The statements made on this web site and any of its publications have not been evaluated by the Food and Drug Administration. This web site is not intended to diagnose, treat, cure or prevent disease.
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