Perimenopause Symptom & Wellbeing Checklist
A tool to bring into session

Perimenopause symptom & wellbeing checklist

Perimenopause can move through the body, mood, sleep, and thinking all at once — and the symptoms often overlap with other conditions. Check what resonates, even loosely.

How to use this

This isn't a diagnostic tool. It's meant to help you notice patterns, put words to what you're feeling, and bring a more focused starting point to your therapist or medical provider. Tap the boxes as you go, or print it and check by hand.

Body

Physical symptoms

Mood

Emotional & psychological symptoms

Mind

Cognitive symptoms

Rest

Sleep

Easy to miss

Surprising & lesser-known symptoms

These get talked about far less than hot flashes, but they're common — and often mistaken for allergies, dental issues, or something unrelated entirely.

Overlap

ADHD symptom overlap

Declining, fluctuating estrogen can affect dopamine and other systems involved in attention and executive function. This can unmask ADHD in people never diagnosed, or intensify it in those already managing it. Use this to sort out what's new, what's longstanding, and what might be both.

Inattentive symptoms

Hyperactive / impulsive symptoms

Executive function & emotional regulation

Bring this in

Reflection & discussion notes

Print or save this checklist

This checklist is a reflection and communication aid, not a diagnostic instrument. Symptoms of perimenopause, ADHD, depression, anxiety, and thyroid conditions can overlap significantly — a full evaluation with a qualified medical or mental health provider is recommended for diagnosis and treatment planning.