Do you experience, feel or have these things? Check the box if yes or no.

Yes
No
1 .Frequent urination
2. Tiredness
3. Always thirsty
4. Muscle cramps
5. Intense hunger
6. Depression
7. Sudden weight gain
8. Slow thoughts and movements
9. Sudden weight loss
10. Sensitivity to cold
11. Short neck
12. Confusion
13. Vision problems
14. Nervousness
15. Hearing problems
16. Fast heartbeat
17. Problems with joint movement
18. Nausea
19. A very short trunk
20. impatience
What do you think is the reason that caused this? Check the box if you think it is the
reason.

1. Lifestyle
sicknesses
2. Hereditary reasons

4. Recent conditions or

3. Skipping meals