Pre-Screening Questionnaire

In this section we ask about a number of menopause symptoms to pre-screen women for peri-menopause and menopause.


Most of the symptoms listed are from Greene Climacteric Scale (GCS) and include psychological, physical and vasomotor symptom questions. This is a brief standard measure of core climacteric (menopausal) symptoms and widely used by practitioners.


The GCS helps us understand your symptoms by giving you a score. It can be useful to use the score to assess the changes in different symptoms, before and after your peri-menopause or menopause treatment to help and easily monitor improvements. The score alone isn’t used to diagnose whether you are in the menopause transition. 

Diagnostic tests will be required to do this.


The symptoms don't all happen at the same time during the menopause transition, so the scale just gives a snapshot of how things are for you at the moment. This is another reason why it can be useful to repeat the questionnaire after 6 or 12 months (or sooner if you feel that your symptoms are changing more quickly).


You will also see that not all of the symptoms listed are specific to menopause, which means that you can have some of the symptoms without being in the perimenopause or menopause. However, if these symptoms have only occurred recently or have recently got worse, it could be a good indicator that you’re heading towards menopause.

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Does your heart beat quickly or strongly?
Please seek immediate medical care if you experience dizziness, chest pain or tightness, or are breathless along with your palpitations. If your palpitations are triggered by exertion, are interfering with your life or if you have heart disease, we also recommend a visit to your General Practitioner. Select one statement that best describes you.
Are you feeling tense or nervous?
Select one statement that best describes you.
Do you have difficulty sleeping?
Select one statement that best describes you.
Are you ‘excitable?'
Select one statement that best describes you.
Do you have attacks of anxiety or panic?
Please see your GP if your anxiety interferes with your ability to lead your life normally. If you feel like harming yourself or ending your life, phone your GP or dial 911 immediately.

Select one statement that best describes you.
Have you noticed difficulty concentrating?
Select one statement that best describes you.
Are you feeling tired and lacking in energy?
Select one statement that best describes you.
Have you lost interest in most things?
Select one statement that best describes you.
Have you lost interest in most things?
Please see your GP if your mood interferes with your ability to lead your life normally. If you feel like harming yourself or ending your life, phone your GP or dial 911 immediately. Select one statement that best describes you.
Are you feeling unhappy or depressed?
Please see your GP if your low mood interferes with your ability to lead your life normally. If you feel like harming yourself or ending your life, phone your GP or dial 911 immediately. Select one statement that best describes you.
Are you experiencing crying spells?
Select one statement that best describes you
Are you more irritable?
Select one statement that best describes you
Have you been feeling dizzy or faint?
If you’re experiencing drowsiness, weakness in your body, are passing out or fainting, are having difficulty balancing, or the dizziness interferes with your ability to live your life normally, please see your GP. If you are also experiencing headaches, palpitations, chest pain or chest tightness with feeling dizzy or faint we recommend you visit your GP. Select one statement that best describes you.
Do you experience pressure or tightness in your head?
Select one statement that best describes you.
Have you noticed that parts of your body feel numb?
If the onset is sudden or rapid, or you feel confused, off-balance, experience weakness in one or more body parts, or have visual or speech changes, seek medical attention immediately. Any loss of sensation of the tissue of the part of your body around the vulva and anus with back pain should be checked immediately. Select one statement that best describes you.
Have you noticed that you have headaches?
If your headaches are worsening, or are accompanied by high temperature (fever), neck stiffness or rash you should seek immediate medical care. You should also seek medical attention if your headaches started suddenly, are associated with red or painful eyes, or unexplained vomiting, or aren’t like anything you’ve ever experienced before or if there are problems with speech, balance or significant memory issues. Select one statement that best describes you.
Do you have muscle aches and joint pains?
Select one statement that best describes you.
Have you noticed a loss of feeling in your hands or feet?
If this is a new symptom, or has come on rapidly, and you also experience a loss of balance, double vision, muscle twitching or wasting, palpitations, feeling generally unwell or dizzy, feeling sick, constipated or notice a change in bowel habits, you should seek immediate medical attention. Select one statement that best describes you.
Are you experiencing breathing difficulties?
If your symptoms are persistent and don’t go away, you should see a GP. If you’re also experiencing chest pain or chest tightness or wheezing, coughing up blood or have a persistent cough please seek immediate medical attention. Select one statement that best describes you.
Do you have hot flushes?
If you’re feeling generally unwell, experience fatigue, tremors or feeling shaky, unintentional weight loss or diarrhea alongside your hot flushes, you should see your GP. Select one statement that best describes you.
Do you sweat at night?
Select one statement that best describes you.
Have you lost interest in sex?
That's your symptoms from the Greene Climacteric Scale (GCS) finished. The following symptoms can also be related to the menopause but are not included in the GCS, that's why we're covering them here.
Do you have vaginal dryness?
Are you experiencing brain fog?
Do you have bladder leakage or incontinence?
Do you have issues with memory?
How much do your symptoms have an impact on the quality of your life?
Of all of the symptoms that you are experiencing, which three are impacting your life the most?
Choose up to three from the options below
Are you experiencing skin changes? For example, wrinkles, skin laxity, hyperpigmentation, skin tags, or redness.
At and after the age of 25 we lose 1-2% of Collagen per year. However, during the first 5 years of menopause women lose 30% of their collagen resulting in wrinkles and loose skin. Hyperpigmentation (darkening skin pigment), rosacea (redness to cheeks, nose, chin), eczema and skin tags also become common.

*Seek medical advice from your GP if you notice changing colour, diameter, border, texture, or bleeding of any moles.