Hypothyroidism self assessment test

Physical fatigue or lethargy (Only Pick One)

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Energy is worse first thing in morning, even after good sleep (Only Pick One)

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Feel the cold more quickly than most other people (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Hands and feet often cold (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Bowel movements less than once per day, or with difficulty (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Dry skin or hair and/or hair loss (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Difficulty losing weight, even when eating less or exercising more (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Do not sweat much, even when exercising (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Memory is worse than it used to be (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Poor concentration (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Depression (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Moody and irritable (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Pre-menstrual syndrome (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Low sex drive (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Headaches, often worse in morning (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Frequent infections(e.g. throat or lung infections) (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Eyelids are swollen and puffy (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Bags under the eyes (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Face looks bloated (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Yellowing of palms of hands and soles of feet (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Movements are on the slow side (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Thinking is on the slow side (Only Pick One)

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Eyebrows are thinning out (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Joint stiffness and pain, sometimes better after movement (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Need a lot of sleep (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Feel worse if a meal is missed (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Dizziness or poor sense of balance (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Nasal congestion (Only Pick One )

rarely or never have the symptom-----------------

the symptom is mild and/or only occasional-------

the symptom is moderate and/or frequent----------

the symptom is severe and/or almost constant-----

Your total is: