Online Thyroid Questionnaire


An online thyroid questionnaire is a set of questions which are helpful for a person who is doubtful of being a victim of thyroid. The questions are framed in such a way that by knowing the answers to all can detect whether or not the respondent is suffering from thyroid problem or not.

Sample online thyroid questionnaire

Name: _____________

Age:  ________________

Gender: ________________

Address: ________________

Contact number: ________________

Email address: ______________

The following are the thyroid detection questions. Please answer all questions and wait for the results.

Q1.  Are your hands and feet cold most of the times?

a)   Yes

b)   No

Q2. Do you have any kind of swelling in the area around the neck?

a)   Yes

b)   No

Q3. How much do you weigh?

Q4. What is your exact height?

Q5. Does it happen that you eat less and still do not lose weight?

a)   Yes

b)   No

Q6. Do you feel more of fatigue and tiredness throughout the day even on doing little physical work?

a)   Yes

b)   No

Q7. Do you wake up with a heavy head and a lot of headache which reduces as the time of the day passes?

a)   Yes

b)   No

Q8. Do you think you always feel like sleeping even if you don’t feel tired?

a)   Yes

b)   No

Q9. Does your energy level drop significantly during the afternoon time?

a)   Yes

b)   No

Q10. Do you think you rely on nicotine or caffeine to keep you going through the day?

a)   Yes

b)   No

Category: Online Questionnaire

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