The thyroid is a complex organ and involved with proper function of virtually every organ system in our body. When the thyroid is not producing enough hormone or your body is unable to utilize the thyroid hormone that is produced you can suffer many different symptoms. This quiz is designed to help determine if you could have Hypothyroidism or low thyroid. The results are not diagnostic of dysfunction but will help direct you if you should seek further evaluation with a Qualified Medical Professional.
Sincerely,
Jon Skelton, MD
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In this section we will assess your risk for Thyroid Dysfunction due to Family History and previous infection.
Question 2 of 17
Do you have a family history of Thyroid Disease (low/hypo, high/hyper, Hashimoto's, Grave's, or Thyroid Cancer)?ion
Yes
No
Question 3 of 17
Have you ever been diagnosed with Mono?
Question 4 of 17
Have you ever been diagnosed with COVID or Long COVID?
In this section we will be asking you to rate how often you have symptoms associated with Thyroid Disease.
Answers will range from 0 which means rare/never to 3 which means nearly daily or more. Only choose 1 answer.
Question 6 of 17
Tired or Sluggish
0
1
2
3
Question 7 of 17
Outer third of eyebrow is thinning
Question 8 of 17
Difficult or infrequent bowel movements
Question 9 of 17
Brain Fog or Mental Sluggishness
Question 10 of 17
Feet, hands, or body feeling cold
Question 11 of 17
Require excessive amounts of sleep to function properly
Question 12 of 17
Increase in weight even with low-calorie diet
Question 13 of 17
Gain weight easily
Question 14 of 17
Morning headaches that wear off as the day progresses
Question 15 of 17
Depression/lack of motivation
Question 16 of 17
Thinning of hair on scalp, face, or genitals, or excessive hair loss
Question 17 of 17
Dryness of skin and/or scalp