In the last 3 cycles, which changes have been present in most cycles?Select all that applyCycle timing has changedBleeding amount or duration has changedPain or cramping has changedPMS, skin, or body symptoms have changedNo repeated changeNot sure
How long is your current typical menstrual cycle (Day 1 to Day 1)?Select oneLess than 21 days21-25 days26-30 days31-35 daysMore than 35 daysVery irregular / Unpredictable
How many days do you usually bleed each period?Select one1-2 days3-5 days6-7 daysMore than 7 daysVaries significantly
How would you describe the overall amount of bleeding in a typical period?Select oneVery light / ScantModerate / AverageHeavy at the start, then tapersHeavy throughoutSpotting onlyVaries cycle to cycle
What color is your menstrual blood most often?Select oneBright / Fresh redDark red / PurpleBrown / RustPink / PaleMixed / Changes through the period
Do you usually pass clots during your period?Select oneNo clotsTiny clots occasionallySmall to medium clots most cyclesLarge or frequent clots
Where do you usually feel period pain or discomfort?Select all that applyLower abdomenDeep pelvisLower backBowel / Rectal areaHeadaches / MigrainesNone
How strong is the pain or discomfort most cycles?Select one0-1 (No pain or very mild)2-4 (Mild, manageable)5-7 (Moderate, often need medication)8-10 (Severe, interferes with life)
Which PMS or hormone-related symptoms do you get most cycles?Select all that applyMood swings / IrritabilityBreast tendernessBloating / PuffinessAcne flare-upsFatigueHeadaches / MigrainesNone
Which of these body-pattern signs fit you most often?Select all that applyCold hands / feetPain feels better with warmthGain weight easilyWeight gathers around the middleHard to lose weightLow stamina / Easy fatigueNone
Which food or body tendencies sound most like you?Select all that applyCrave sweetsCrave oily / fried foodsFeel heavy or sluggish after rich mealsPhlegm or mucus in the throatBloating after richer foodsNone