Hypothyroidism Questionnaire - Find out if you have it?

Editorial Review: Below is a commonly used questionnaire to help determine if hypothyroidism is a condition you may suffer from.

Take the test, add up your scores and see if this is a condition you likely suffer from... But, if you are visiting this site, it is likely you are already dealing with something that isn't making you feel good. Or, you have yellow palms and are looking to avoid all the symptoms below before they occur.

In either case, we highly suggest you visit here to feel better as quickly as possible.

Good Luck,
Lyric

First, add a 1 next to the symptom if you suffer from it, or a 0 if you don't.

Symptoms

____ 1. Fatigue
____ 2. Low Body Temperature
____ 3. Weight Gain
____ 4. Brain Fog
____ 5. Hard to Concentrate
____ 6. Difficulty Thinking
____ 7. Poor Memory
____ 8. Poor Short Term Memory
____ 9. Slow Thinking
____ 10. Depression
____ 11. Moody & Irritable
____ 12. Low Sex Drive
____ 13. Restless Sleep
____ 14. Outer Eyebrow Thinning
____ 15. Hair Loss
____ 16. Sensitive to Cold
____ 17. Cold Hands & Feet
____ 18. Slow Pulse
____ 19. Low Blood Pressure
____ 20. Less than 1 BM Daily
____ 21. Dizziness or Poor Balance
____ 22. Fluid Retention
____ 23. Recurrent Headaches
____ 24. Recurring Infections
____ 25. Bags under Eyes
____ 26. Bloated Face
____ 27. Pasty, Puffy or Pale Skin
____ 28. Decreased Body Hair
____ 29. Enlarged Tongue
____ 30. Teeth Imprints on Tongue
____ 31. Thinning Eyelashes
____ 32. Yellow Palms & Soles
____ 33. Dry Skin
____ 34. Skin itch in Winter
____ 35. Decreased Sweating
____ 36. Elevated Cholesterol
____ 37. Sleep Apnea
____ 38. Nasal Congestion
____ 39. Hand & Feet Numbness
____ 40. Hoarse Voice
____ 41. Joint Stiffness & Pain
____ 42. Muscle Aches

Total for A _______ + 8 = __________


Score is less than 10, you have low probability of having hypothyroidism

If your score is higher than 10, move on to Section B&C. If your score in this section is greater than 10, you have at least a medium probability of having hypothyroidism. We suggest that you visit your doctor and Click Here to begin feeling better right away.

Section B Risks

Health History
____ 1. Do you have auto-immune disease such as lupus, rheumatoid arthritis or sarcoidosis?
____ 2. Have you ever been treated for any type of thyroid disease or thyroid condition?
____ 3. Have you ever been on lithium or amiodarone?

Section C Risks


Diet & Lifestyle History
____ 1. Have you ever smoked or used tobacco?
____ 2. Have you ever taken iodine supplements with 1,000 mcg (1 mg) or more of iodine?
____ 3. Do you avoid eating ALL of these foods: salt, seafood, dairy and seaweed?
____ 4. Do you often eat raw brussel sprouts, broccoli, cabbage, cauliflower, kale, kohlrabi, millet,
radishes, rutabagas, soy or turnips?

Family History (Genetically related parents, grandparents, siblings, cousins, aunts and uncles.)
____ 5. Does any family member have auto-immune disease such as Lupus, Rheumatoid Arthritis or Sarcoidosis?
____ 6. Has a family member had thyroid disease?

Women Only

____ 7. PMS, PMDD, or PCOS
____ 8. Excessive Menstrual Bleeding
____ 9. Have you been pregnant at least once?
____ 10. Have you ever had a miscarriage?
____ 11. Are you 40 years of age or older?

Men Only

____ 12. Erectile Dysfunction
____ 13. Gynecomastia (enlarged breasts)
____ 14. Are you 50 years of age or older?

Total for Section C:
This is your Symptom Score
1) Multiply Section B Total by 10. B X 10 = _____.
2) Multiply Section C Total by 5. C X 5 = ______
Add Line 1) and Line 2) together. Line 1) + Line 2) = ______This is your Risk Score.