Score how much 15 common menopause-related symptoms are currently bothering you across three domains — psychological, physical and vasomotor — and get a personal symptom-burden snapshot you can track over time or bring to your doctor. This is an original checklist tool, not a reproduction of any single published clinical questionnaire.
This calculator is a self-report checklist that scores how much 15 common menopause-related symptoms are bothering you right now, grouped into three domains — psychological, physical and vasomotor — similar in spirit to how a commonly used menopause symptom-severity scale structure is organised. Each item is scored from 0 (not at all) to 3 (extremely bothered), and the totals give you a personal snapshot of your current symptom burden, useful for tracking change over time or starting a conversation with your doctor. It does not diagnose menopause, perimenopause or any medical condition, and it is not the official Greene Climacteric Scale or any other validated clinical instrument.
⚕️ Medical Notice: This calculator is a personal symptom-tracking tool. It is not a diagnostic instrument, and it is not the official Greene Climacteric Scale or any other validated clinical questionnaire — it uses an originally-worded checklist covering similar symptom concepts. It does not tell you whether you are in perimenopause or menopause, and it does not recommend any treatment. It can be a useful thing to screenshot or print and bring to a doctor's appointment to describe how much your symptoms are currently bothering you. Always speak with your doctor about new, worsening or concerning symptoms.
| Domain | Score |
|---|
Rather than reproducing any single published questionnaire word-for-word, this checklist uses originally-worded items covering symptom concepts commonly grouped together by menopause symptom-severity scales in the published literature — psychological symptoms, physical symptoms, and vasomotor symptoms (hot flashes and night sweats). A commonly used menopause symptom-severity scale structure scores each item from 0 to 3 across these domains, with higher totals reflecting a more bothersome overall symptom burden. There is no single agreed diagnostic cutoff in that literature, so this calculator does not claim one either — instead it shows your total and domain sub-totals as a personal, relative snapshot.
| Relative burden band | Share of maximum possible score | How it's framed here |
|---|---|---|
| Lower | Under 25% of the maximum (0-11) | Your answers suggest a lower current symptom burden on this checklist |
| Moderate | 25-50% of the maximum (12-22) | Your answers suggest a moderate current symptom burden on this checklist |
| Higher | Over 50% of the maximum (23-45) | Your answers suggest a higher current symptom burden on this checklist |
Grouping related symptoms together — psychological, physical and vasomotor — makes the checklist easier to fill in and easier to interpret than a single combined number. It also mirrors how you might actually notice change: for example, hot flashes and night sweats (vasomotor) often ease with certain treatments even while sleep or mood (psychological/physical) may need separate attention. Looking at your three sub-totals separately, alongside the total, can help you and your doctor see which area is bothering you most right now, rather than treating "menopause symptoms" as one single, undifferentiated experience.
The symptoms on this checklist are commonly reported during perimenopause (the transition years before periods stop) as well as after menopause itself, since both phases involve fluctuating or lower levels of reproductive hormones. This calculator does not try to estimate what stage you are in — for that, see our Menopause Age Estimator or a Perimenopause Symptom Tracker. What this tool adds is a simple way to score how much these symptoms are bothering you right now, whichever stage you are in.
Because the wording and scoring stay the same each time, this checklist can be repeated every few months, or before and after a change such as starting or adjusting hormone therapy or another treatment, to see whether your total and domain sub-totals are trending up, down, or staying steady. A single score on its own has limited meaning — the real value is in comparing your own results over time, and sharing that trend with your doctor rather than relying on memory alone.
Why are symptoms grouped into psychological, physical and vasomotor categories?
Grouping related symptoms together makes the checklist easier to complete and easier to interpret than one combined number. It also reflects how symptoms often behave differently — vasomotor symptoms like hot flashes and night sweats may respond differently to a given treatment than psychological symptoms like low mood or physical symptoms like joint aches, so separate sub-totals can highlight which area is affecting you most.
Is there an official "menopause severity" cutoff score?
No. There is no single, universally agreed diagnostic cutoff score for menopause symptom severity, including on this checklist. This tool instead reports your total and domain sub-totals as a relative symptom-burden snapshot — lower, moderate, or higher compared with this checklist's own maximum possible score — rather than claiming a fixed clinical threshold.
Can I use this to track my symptoms over time?
Yes. Because the checklist and scoring stay consistent, it is well suited to repeating every few months, or before and after a change such as starting hormone therapy or another treatment, so you can compare your total and domain sub-totals over time rather than relying on memory of how you felt previously.
Does a high score mean I need hormone therapy?
No. This tool does not make treatment recommendations. A higher score simply indicates that more of the 15 listed symptoms are currently bothering you more. Whether hormone therapy or another treatment is appropriate is a personalised decision made together with your doctor, based on your full medical history, symptom impact, preferences, and any contraindications — not on a checklist score alone.
Can perimenopause cause these symptoms too?
Yes. Psychological, physical and vasomotor symptoms like the ones on this checklist are commonly reported during perimenopause — the transition years before periods stop completely — as well as after menopause itself, since both phases can involve fluctuating or reduced levels of reproductive hormones.
Do all these symptoms need treatment?
Not necessarily. Whether any symptom needs treatment depends on how much it bothers you and how much it affects your daily life, work, sleep or relationships — not simply on whether it is present. Some people manage mild symptoms with lifestyle changes alone, while others with more bothersome symptoms may want to discuss medical options with their doctor.
Should I bring my results to my doctor?
Yes, that is one of the main intended uses of this tool. Bringing your total score, domain sub-totals, or a screenshot of your answers to an appointment can give your doctor a clearer, more specific picture of what is bothering you and by how much, which can make the conversation about possible next steps more efficient.
How often should I redo this checklist?
There is no fixed schedule — use it whenever you want to check in on your symptoms, such as every few months, or specifically before and after a treatment change, so you have a "before" score to compare against a later "after" score.
Is this the same as the Greene Climacteric Scale?
No. This is an originally-worded checklist created for this website, inspired by the general concept of grouping menopause-related symptoms into psychological, physical and vasomotor domains, which is a common approach in the published menopause symptom-severity literature. It is not a reproduction of the Greene Climacteric Scale or any other specific copyrighted or validated clinical questionnaire, and it has not been clinically validated.