Thyroid Function Assessment

Thyroid- A critical component in regulating a healthy metabolism and critical for hormone balance.

Directions: please rate your symptoms below as Mild (or none), Moderate, or Severe. We will score your symptoms and display the results at the end of the assessment.

 

Thyroid Function Assessment

Progress:

Tired/wired, sluggish or extreme fatigue

Feel cold, hands, feet, all over

Gain weight easily

Depression, lack of motivation

Require excessive amounts of sleep

Difficult, infrequent bowl movements

Swollen tongue with ridges on edges

Dark circles under eyes

Dry skin &/or scalp

Mental sluggishness, tearful or overwhelmed

Thinning of hair on scalp, genitals, or face

Morning headaches that decrease as day progresses

Swimming in chlorinated pools or hot tub use

Drink water from tap (not purified)

Heart palpitations or trembling

Increased or slow pulse

Nervous, emotional or easily agitated

Insomnia or night sweats

Trouble swallowing or hoarseness

Difficulty gaining weight