Menopause Symptom Scale (Greene Climacteric) - Arbroath Medical Practice LLP

The Greene Scale provides a brief measure of menopause symptoms. It can be used to assess changes in different symptoms, before and after menopause treatment. Three main areas are measured:

Psychological
Physical
Vasomotor

Please visit NHS Inform or see Menopause Matters for an overview of the menopause and support managing your symptoms.

Name

First Last

Enter Email Confirm Email

Date

Contact Number

Symptoms

Please indicate the extent to which you are bothered at the moment by any of these symptoms:

Heart beating quickly or strongly:

Feeling tense or nervous:

Difficulty in sleeping:

Excitable:

Attacks of anxiety, panic:

Difficulty in concentrating:

Feeling tired or lacking in energy:

Loss of interest in most things:

Feeling unhappy or depressed:

Crying spells:

Irritability:

Feeling dizzy or faint:

Irritability:

Pressure or tightness in head:

Parts of body feeling numb:

Headaches:

Muscle and joint pains:

Loss of feeling in hands or feet:

Breathing difficulties:

Hot flushes:

Sweating at night:

Loss of interest in sex:

Score

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This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.