Severity

 Frequency

Chest:

 Chest pain

 Chest tightness

Other Cardiac :  

 Awareness of heartbeat

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Rapid heartbeat

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Fluttering in the chest

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Forceful heartbeat

None Annoying Uncomfortable Limits regular activity

 Skipped heartbeat

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Extra heartbeat

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

Panic or Anxiety:

 Feeling detached/ depressed

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Shakes or jitters

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Panic or anxiety

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Losing control

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Avoid public places or crowds

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Avoid driving

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Avoid supermarkets

None Annoying Uncomfortable Limits regular activity

Fatigue:

 Lack of energy

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Shortness of breath

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Low exercise tolerance

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

Gastrointestinal:

 Diarrhea

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Constipation

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Abdominal cramping

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Symptoms worse after meals

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Symptoms worse before meals

Never Less than once a week One to six times a week Daily

 Symptoms relieved by meals

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

Central Nervous System:

 Dizziness on arising

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Dizziness

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Inability to concentrate

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Memory problems

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Migraine

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Fainting

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

Sleep Disorders:

 Symptoms at night

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Difficulty going to sleep

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Difficulty staying asleep

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

Premenstrual:

 Painful breasts

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Premenstrual bloating

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Premenstrual anxiety

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Premenstrual depression

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

Other:  

 Craving sweets

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Cold hands and feet

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Allergies

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Difficulty with upper body

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Lump in throat

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Difficulty swallowing

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Excessive sweating

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily

 Inability to sweat

None Annoying Uncomfortable Limits regular activity

Never Less than once a week One to six times a week Daily