The Questionaire

Please click on the check boxes if the emotional or physical change applies to you. 

Anxiety
Clumsiness
Anger
Loss of temper
Confidence loss
Mood swings
Crying for no reason
Irritability
Aggression
Poor concentration
Tiredness
Breasts become tender
Headaches/migraine
Bloating
Weight gain

 

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Please describe any other emotional or physical changes:


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