Menopause Symptom Scale (Greene Climacteric)

Please indicate the extent to which you are bothered at the moment by any of these symptoms:

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Notice to discover how we protect and manage your submitted data.