Menopause 3 Month / Annual Review

Hot flushes: *

Night sweats: *

Sleep problems: *

Fatigue (extreme tiredness): *

Joint pains: *

Palpitations: *

Brain fog: *

Mood swings: *

Not functioning at work, home, in relationships: *

Urinary problems: *

Reduced libido: *

Sore/dry vagina: *

Body changes: *

Is HRT helping with your symptoms? *

Are you experiencing any side effects? *

Has there been any change in your health since last HRT check? *

Has there been any vaginal dryness or discomfort? *

Has there been any vaginal bleeding? *

Are your cervical smears up to date? *

Are you on contraception? *