Premenstrual Dysphoric Disorder Screening

This survey is designed to understand the emotional, physical, and behavioral changes some people experience before their period. PMDD is a more severe form of premenstrual syndrome (PMS) and can affect your mood, energy levels, and daily life in the days leading up to your period. Your responses will remain private and will only be used to improve awareness and support for PMDD.

I feel much more depressed, down, tearful, sad or hopeless before the start of my period.

I feel anxious, tense, nervous, “keyed up” or “on edge” before the start of my period.

I feel hypersensitive to rejection, or, My emotions feel very unstable and unpredictable before the start of my period.

I feel much more irritable or I get angry easily before the start of my period.

I have thoughts about suicide or hurting myself before the start of my period.

I experience feelings of hopelessness before the start of my period.

I am much less interested than usual in my hobbies and daily activities before the start of my period.

I find it much harder to concentrate before the start of my period.

I feel much more tired and low in energy before the start of my period.

I tend to crave carbohydrates, feel hungry all the time, or eat more than usual before the start of my period.

I find myself tired, oversleeping or taking naps, or, I’m not sleeping well at night before the start of my period.

I am bothered by breast tenderness or swelling, increased headaches, joint or muscle pain, bloating or water retention, and/or weight gain before the start of my period.

These symptoms interfere or cause problems in my day-to-day activities and/or relationships.

Most of my symptoms disappear by the end of my period.

I have many of these symptoms the whole month, but they get worse before my period.

Your score is