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20

Has there been an increase in hair loss, including on the outer part of the eyebrows and eyelashes?

Yes No

19

Do you experience dryness of the skin, hair, and hair prone to tangling?

Yes No

18

Are your nails thin and brittle?

Yes No

17

Prone to fluid retention in the body, swelling around the eyes?

Yes No

16

Is it hard to get rid of extra pounds?

Yes No

15

Do you have elevated cholesterol levels (over 5.2 mmol/L)?

Yes No

14

Bowel movement less than once a day or feeling of incomplete bowel emptying?

Yes No

13

Do you struggle to sweat?

Yes No

12

Do you experience pain in your muscles or joints?

Yes No

11

Do you feel tingling in your hands or feet?

Yes No

10

Do you have a hard time with cold or heat?

Yes No

9

Do your hands and feet often get cold?

Yes No

8

Feeling sluggish, apathetic?

Yes No

7

Do you feel tired, especially in the mornings?

Yes No

6

Having trouble concentrating?

Yes No

5

Experiencing difficulties swallowing?

Yes No

4

Do you feel a decrease in libido?

Yes No

3

Prone to depression and rapid mood swings?

Yes No

2

Do you take antidepressants?

Yes No

1

Is there an enlargement of the thyroid gland?

Yes No