How much are your symptoms affecting you?

1. 1

   Hot flushes, sweating

   (episodes of sweating)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
2. 2

   Heart discomfort

   (unusual awareness of heart beat, heart skipping, heart racing, tightness)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
3. 3

   Sleep problems

   (difficulty in falling asleep, difficulty in sleeping through, waking up early)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
4. 4

   Depressive mood

   (feeling down, sad, on the verge of tears, lack of drive, mood swings)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
5. 5

   Irritability

   (feeling nervous, inner tension, feeling aggressive)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
6. 6

   Anxiety

   (inner restlessness, feeling panicky)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
7. 7

   Physical and mental exhaustion

   (general decrease in performance, impaired memory, decrease in concentration, forgetfulness)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
8. 8

   Sexual problems

   (change in sexual desire, in sexual activity and satisfaction)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
9. 9

   Bladder problems

   (difficulty in urinating, increased need to urinate, bladder incontinence)

   0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
10. 10

    Dryness of vagina

    (sensation of dryness or burning in the vagina, difficulty with sexual intercourse)

    0 None 1 Mild 2 Moderate 3 Severe 4 Very severe
11. 11

    Joint and muscular discomfort

    (pain in the joints, rheumatoid complaints)

    0 None 1 Mild 2 Moderate 3 Severe 4 Very severe

Please answer the remaining highlighted symptoms — the score only makes sense with all 11 answered.