Questionnaire - Page 6(d) of 9
(1077 maximum possible questions)		 Last updated: May 05, 2008

THE ANALYST TM
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This section deals with your periods.
655.  Do you suffer from anxiety related to your menstrual cycle?
No / don't know
Moderate
Severe
656.  Have you experienced breast tenderness, soreness or swelling associated with your cycle?
No / don't know
Yes, but I am not having periods
Mild
Moderate
Major
657.  Do you suffer from depression during or before your period?
Don't know
No
Moderate
Severe
658.  Do you experience hot flashes and, if so, when do they occur?
Not applicable / don't know
No, I do not experience hot flashes
Yes, during or around time of period only
Yes, between periods only
Yes, at any time / not having periods
659.  Do you suffer from Premenstrual Syndrome (PMS)?
No / don't know
Minor
Moderate
Serious
Severe
660.  Do you suffer irritability related to your menstrual cycle?
No / don't know
Occasionally / moderate
Often / severe
661.  Water retention (edema) - do your ankles swell before menstruation?
No / don't know
Occasionally / moderately
Often / severely
662.  Are your menstrual cycles irregular?
No / don't know
Occasionally / moderately
Often / severely
663.  Do you have bleeding between periods?
Don't know
No
Occasionally / moderately
Often / severely
664.  How would you rate your average menstrual flow?
Don't know
Light
Normal / average
Heavy
Very heavy
665.  Have you experienced missed periods that are unrelated to pregnancy, breast feeding, menopause or birth control pill use?
No / don't know
Yes, but not in the last two years
I occasionally miss a period
I regularly miss a period or 1 to 2 in a row
My periods are infrequent or absent
666.  Do you have mood swings related to your menstrual cycle?
No / don't know
Occasionally / moderate
Often / severe
667.  Do you suffer from painful menstrual cramps?
Never had them / don't know
Probably had them/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
668.  Do you have poor concentration during certain parts of your menstrual cycle?
No / don't know
Occasionally / moderate
Often / severe
669.  Do you have weight gain greater than 3 pounds (1.5kg) and / or abdominal bloating associated with your cycle?
Don't know
No
Weight gain
Abdominal bloating
Both
670.  What is the average length of your menstrual cycle?
Very short - under 20 days
Short - 20 to 25 days
Normal - 26 to 30 days / don't know
Long - 31 to 35 days
Very long - over 35 days
671.  Do you have a sugar, chocolate or carbohydrate craving associated with your cycle?
No / don't know
Occasionally / moderate
Often / severe

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GLOSSARY

Anxiety:  Apprehension of danger, or dread, accompanied by nervous restlessness, tension, increased heart rate, and shortness of breath unrelated to a clearly identifiable stimulus.

Carbohydrates:  The sugars and starches in food. Sugars are called simple carbohydrates and found in such foods as fruit and table sugar. Complex carbohydrates are composed of large numbers of sugar molecules joined together, and are found in grains, legumes, and vegetables like potatoes, squash, and corn.

Edema:  Abnormal accumulation of fluids within tissues resulting in swelling.

Kilogram:  1000 grams, 2.2lbs.

Menopause:  The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.

Premenstrual Syndrome:  PMS consists of various physical and/or emotional symptoms that occur in the second half of the menstrual cycle, after ovulation. The symptoms begin about midcycle, are generally the most intense during the last seven days before menstruation and include: acne; backache; bloating; fatigue; headache; sore breasts; changes in sexual desire; depression; difficulty concentrating; difficulty handling stress; irritability; tearfulness.



 


Your attitude determines your outcome. Successful people embrace this truth, whether it is a doctor going into surgery, a pastor preparing a sermon or a business-person launching a new venture. Confidence increases your chance of success every time. When you approach a task, especially one you do not relish, fix your mind on the facts, not your feelings. That will put your attitude on the right track.