pmdd.factsforhealth.org
Check the symptoms you have during the week before your period:
Depressed mood
Anxiety, tension, edginess
Sudden mood shifts
Irritability, anger
Loss of interest
Difficulty concentrating
Fatigue, loss of energy
Appetite change, food cravings
Sleep problems (too little, too much)
Feeling out of control, overwhelmed
Physical symptoms (bloating, breast tenderness, pain, weight gain)
Please answer all of the following:
Yes
No
Do these symptoms disappear during or after your period?
Do these symptoms occur with most every cycle?
Are the symptoms severe enough to really interfere with your life?