Doctor Visit Prep Checklist

Prepare for your appointment — take this summary with you

How to Use This Tool

Check the symptoms you're experiencing, select how often they occur and how severe they feel. Add any additional notes at the bottom. When you're done, click "Generate PDF" to create a one-page summary you can print or show your doctor.

Hot Flashes & Night Sweats
Sleep Issues
Mood & Emotions
Cognitive (Brain Fog)
Physical Symptoms

Anything Else for Your Doctor?