Print this page, or save it as a PDF from your browser (File, then Print, then Save as PDF). Fill it in over a few weeks and bring it to your appointment. It lists the symptoms covered on ThyroidSymptoms.com. It is for education only and is not a diagnosis.
Part 1: Your symptoms
Tick each symptom you have noticed. Then note roughly how long you have had it: less than 1 month, 1 to 3 months, 3 to 6 months, or 6 months or more.
| Symptom | Have it? | How long / notes |
|---|---|---|
| Tiredness or low energy that sleep does not fix | □ | |
| Weight gain with no change in diet or activity | □ | |
| Hair thinning or shedding (including the outer eyebrows) | □ | |
| Feeling cold when others are comfortable | □ | |
| Brain fog, forgetfulness or trouble concentrating | □ | |
| Dry skin or brittle, slow-growing nails | □ | |
| Constipation | □ | |
| Low mood or mood changes | □ | |
| Irregular, heavy or missed periods | □ | |
| A puffy face (often in the morning) or a swollen neck | □ | |
| Muscle weakness, aches or stiffness | □ | |
| Hoarse voice | □ | |
| Other: | □ |
Part 2: What to bring to your appointment
- This sheet, with your symptoms ticked and how long you have had each one.
- Whether you have ever had thyroid blood tests, and the results if you have them.
- Any big hormone changes lately, such as a pregnancy, having a baby, or perimenopause.
- The question you most want answered at this visit.
Part 3: What testing usually looks like
Only a blood test can show how your thyroid is working. The usual first step is a TSH (thyroid stimulating hormone) test. Depending on the result, a doctor may also order Free T4, Free T3 or TPO antibody tests. At-home thyroid test kits are also available and can be a starting point to take to a doctor.
Want a quick way to sort your symptoms first? Take the 2-minute symptom checker.
Disclaimer: ThyroidSymptoms.com is for educational purposes only. It does not provide medical advice, diagnosis or treatment. Always talk to a qualified healthcare provider about your symptoms and testing options.