Free symptom checklist for women over 40

Most doctor visits are short. This checklist helps you walk in with everything written down, so nothing gets missed and nobody waves you off.

Tick anything that’s been true for you in the last 3 months.

Body and weight

My belly got bigger even though I eat about the sameStarted: ____________ Affects my day (1–10): ____ My clothes fit differently around my waistStarted: ____________ Affects my day (1–10): ____ I feel puffy or bloated most daysStarted: ____________ Affects my day (1–10): ____

Sleep and energy

I wake up in the night and struggle to fall back asleepStarted: ____________ Affects my day (1–10): ____ I wake up hot or sweatyStarted: ____________ Affects my day (1–10): ____ I feel tired even after a full night in bedStarted: ____________ Affects my day (1–10): ____

Mood and mind

I snap at people more than I used toStarted: ____________ Affects my day (1–10): ____ I feel low or anxious for no clear reasonStarted: ____________ Affects my day (1–10): ____ I forget words or lose my train of thoughtStarted: ____________ Affects my day (1–10): ____

Periods and skin

My periods have changed (timing, how heavy, or how long)Started: ____________ Affects my day (1–10): ____ My skin feels drier or looks duller than beforeStarted: ____________ Affects my day (1–10): ____

How to use it

Next to each tick, write when it started and how much it affects your day, from 1 to 10. Take the list to your appointment and say: I’d like us to go through these together.

These are common changes women notice in their 40s. The list doesn’t diagnose anything. It helps you explain what’s going on, clearly.