Adrenal Fatigue Adrenal Fatigue Syndrome can often be confused with thyroid issues or peri-menopausal changes in women. Men can also get this syndrome and most often it is seen with dietary issues, fatigue from working out, or chronic stressors. The following questionnaire will help determine if you could possibly have adrenal fatigue. Please rate the following according to frequency and severity of symptoms: Mild: maybe once or twice a month Moderate: several times a month Severe: almost constantly1. Poor memory or "brain fog"MildModerateSevereNone2. Chronic fatigueMildModerateSevereNone3. Low blood pressure or light headed if standing up too quicklyMildModerateSevereNone4. Muscle weakness or muscle fatigueMildModerateSevereNone5. Afternoon slumpMildModerateSevereNone6. DizzinessMildModerateSevereNone7. Weak nails/dry skinMildModerateSevereNone8. Insomnia or awakening around 2-4 amMildModerateSevereNone9. Brown spots or bronzing to skin, especially shinsMildModerateSevereNone10. Hair thinning or hair lossMildModerateSevereNone11. Low blood sugar or hypoglycemiaMildModerateSevereNone12. Irritable Bowel SyndromeMildModerateSevereNone13. ConstipationMildModerateSevereNone14. Swollen ankles, especially in the eveningsMildModerateSevereNone15. Craving salt or sugarMildModerateSevereNone16. AllergiesMildModerateSevereNone17. AsthmaMildModerateSevereNone18. Low moods or depressive feelingsMildModerateSevereNone19. Feel emotionally overstressedMildModerateSevereNone20. Chronic painMildModerateSevereNone21. Get a "second wind" (more energy) in the eveningMildModerateSevereNone22. Use caffeine or energy drinks for energyMildModerateSevereNone23. PMS symptomsMildModerateSevereNoneName* First Last Email* EmailThis field is for validation purposes and should be left unchanged.
