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Menopause Assessment

Menopause Assessment

Developed by the Berlin Center for Epidemiology and Health Research.

HIPAA

Compliance

  • 1
    (episodes of sweating)
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  • 2
    (unusual awareness of heartbeat, heart skipping, heart racing, tightness)
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  • 3
    (difficulty falling asleep, difficulty in sleeping through, waking up early)
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  • 4
    (feeling down, sad, on the verge of tears, lack of drive, mood swings)
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  • 5
    (feeling nervous, inner tension, feeling aggressive)
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  • 6
    (inner restlessness, feeling panicky)
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  • 7
    (general decrease in performance, impaired memory, decrease in concentration, forgetfulness)
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  • 8
    (change in sexual desire, in sexual activity, in satisfaction)
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  • 9
    (difficulty urinating, increased need to urinate, bladder incontinence)
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  • 10
    (sensation of dryness or burning in the vagina, difficulty with sexual intercourse)
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  • 11
    (pain in the joints, rheumatoid complaints)
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  • 12
    Please enter your name and email so that we can email your results. We won't share your information with anyone. If you would like us to reach out, also enter your phone number.
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  • 13
    Please check all that apply.
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  • 14
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  • 15
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  • 16
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  • 17
    • Huge
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    • Normal
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    Ok
    quoteCreated with Sketch.
    Ok
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  • 18
    depressed, irritable, anxious, exhausted
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  • 19
    depressed, irritable, anxious, exhausted
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  • 20
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    Ok
    quoteCreated with Sketch.
    Ok
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  • 21
    sweating/flush, cardiac complaints, sleeping disorders, joint and muscle complaints
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  • 22
    sweating/flush, cardiac complaints, sleeping disorders, joint and muscle complaints
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  • 23
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    Ok
    quoteCreated with Sketch.
    Ok
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  • 24
    sexual problems, urinary complaints, vaginal dryness
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  • 25
    sexual problems, urinary complaints, vaginal dryness
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  • 26
    • Huge
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    • Normal
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    Ok
    quoteCreated with Sketch.
    Ok
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  • Should be Empty:
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