Your life. Your plan.
Periods, menopause and your body
Use the prompts that are helpful to you. You can write, draw, or ask someone to record your own words.
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What I want help with
Describe what matters to you and how you prefer to communicate.
Date and changes I noticed
Record bleeding, discomfort, feeling hot, sleep or other changes. Repeat this section on another copy if useful.
What I said or showed
Use your own words, pictures or signs. Supporters should separate observations from possible meanings.
How it affected my day
Describe activities, sleep, comfort, personal care or relationships.
What support helped
Include products, privacy, breaks and any treatment already agreed with a clinician.
Questions for my appointment
Write what you want explained and any adjustments you need.
Advice and follow-up
Record who you spoke to, what was agreed and when to ask again. Do not wait to finish this page before seeking help.