Women’s Health & Hormone Questionnaire

Adapted from the Medical Symptoms Questionnaire (MSQ).

Please complete the form below. For each symptom, tick the option that best describes how often you experience it.

(0 = Strongly Disagree / Never - 1 = Disagree / Occasionally (1-2x / Month) - 2 = Neutral / Frequently (Weekly) - 3 = Agree / Most Days - 4 = Strongly Agree / Constant / Severe)