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17

Is there any redness or peeling of the lips?

No Sometimes Often / expressed

16

Do cracks (fissures) appear in the corners of the mouth?

No Rarely Often

15

Is there longitudinal vertical ridging of the nails?

No Slightly Expressed

14

Are there transverse grooves on the nails (lunula shape)?

No Sometimes Often

13

Do you notice paleness of the skin or dark circles under the eyes?

No Sometimes Expressed

12

Is there low endurance or intolerance to physical exertion?

No Moderate difficulties Expressed intolerance

11

Is there shortness of breath when walking or with light exertion?

No Sometimes Often

10

Are there any headaches or dizziness?

No Sometimes Often

9

Do you experience increased anxiety?

No Sometimes Expressed / often

8

Are there mood swings?

Rarely Sometimes Often / expressed

7

Do panic attacks occur?

No Rarely Often

6

Is there dryness of hair or skin?

No Easily expressed Expressed

5

Is there a nocturnal restless legs syndrome?

No Sometimes Expressed

4

Is there any soreness in the mouth (ulcers, painful tongue)?

No Sometimes Often

3

Is there swelling of the tongue or mucous membranes?

No Sometimes Often

2

Is there a craving for unusual substances (a desire to eat chalk, clay, raw dough)?

No Rarely Frequent / pronounced craving

1

Have preferences for smells changed (such as liking the smell of acetone, paint, etc.)?

No Sometimes Often