Circle or jot down your score for each item. Be honest—this is for you.
🧠 Mind & Mood
Symptom Score
Feel mentally foggy or forgetful (0 – 1 – 2 – 3)
I feel anxious or moody more than usual (0 – 1 – 2 – 3)
I struggle with motivation or depression (0 – 1 – 2 – 3)
⚖️ Metabolism & Weight
Symptom Score
I’m gaining weight despite diet/exercise (0 – 1 – 2 – 3)
It feels harder to lose fat than it used to (0 – 1 – 2 – 3)
My appetite has changed (up or down) (0 – 1 – 2 – 3)
💇♀️ Hair, Skin, and Nails
Symptom Score
My hair feels thinner or sheds more (0 – 1 – 2 – 3)
My skin feels dry, flaky, or dull (0 – 1 – 2 – 3)
My nails break or grow slowly (0 – 1 – 2 – 3)
🧊 Body Temperature & Energy
Symptom Score
I feel cold even when others don’t (0 – 1 – 2 – 3)
I often feel tired, even after rest (0 – 1 – 2 – 3)
My heart rate feels slower than normal (0 – 1 – 2 – 3)
💩 Gut & Hormones
Symptom Score
I’m often constipated or irregular (0 – 1 – 2 – 3)
My periods have become irregular or heavy (if applicable) (0 – 1 – 2 – 3)
I have puffiness in my face or hands (0 – 1 – 2 – 3)
✏️ Scoring
🟢 0–10: Your thyroid may be in balance—keep nurturing it!
🟡 11–20: Your thyroid might need some attention—watch your habits and nourishment.
🔴 21–30: Warning signs! Time to dive deeper and consider checking your thyroid health.
🚨 31–45: Your butterfly is in burnout mode—let's turn that around with support, faith, and food!
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