Menopause symptom questionnaire

We invite all women to complete our menopause symptom questionnaire, whether you’re planning to visit our clinic or are simply wondering if you might be perimenopausal or menopausal.

Please take a moment to fill out the questionnaire by ticking the appropriate boxes. Many women are surprised to discover the range and severity of symptoms associated with perimenopause or menopause.

If you choose to submit your form, we will email you with feedback to let you know if your symptoms suggest perimenopause or menopause. For those coming to our clinic, this questionnaire helps us understand your symptoms initially, track any changes, and tailor your treatment plan.

The symptoms listed are from Greene Climacteric Scale (GCS), a verified measurement tool,  reproduced with permission.

Please note that this questionnaire is not a substitute for professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your responses, please consult your GP or one of the doctors in our menopause clinic.