Body Check-In

Take your time. This helps Violet see the full picture before your call.

Date: October 13, 2026

📩 Have recent labs? Email them to pcoswithviolet@gmail.com before our call so Violet can review them ahead of time.

How to answer

For each symptom below, choose the frequency that fits best:

  • • None = never
  • • Mild = less than 1 time per week
  • • Moderate = 1-2 times per week
  • • Severe = 3 or more times per week

Digestive

Bloating

Constipation

Diarrhea

Gas

Nausea

Acid reflux / heartburn

Food reactions (hives/rash after eating)

Difficulty digesting fatty foods

Bowel movement frequency

Menstrual / Period

Cramping severity

PMS mood symptoms

Breast tenderness

Spotting between periods

Missed periods

Clotting

Pain during cycle

Stress

Feeling overwhelmed

Anxiety

Irritability

Racing thoughts

Difficulty relaxing

Tension headaches

Sleep

Trouble falling asleep

Trouble staying asleep

Waking unrested

Night sweats

Vivid dreams / nightmares

Pain (body)

Joint pain

Muscle aches

Headaches / migraines

Lower back pain

Pelvic pain outside of period

General body inflammation / swelling

Mental / Energy

Brain fog

Fatigue

Difficulty concentrating

Memory issues

Low motivation

GYN Health

Not part of your symptom score — just context for Violet.

Sugar cravings

Scored — counts toward your Digestive subtotal.

Recurring yeast infections

Have you been diagnosed with any of the following? (select all that apply)

Cycle & Weight

These are not scored — just facts for Violet to reference.

Anything else?

Is there anything else you'd like Violet to know before your session?

Your responses are private and only visible to Violet.

PCOS With Violet

Heal your hormones. Come home to your body.

This content is for educational purposes only and is not a substitute for medical advice. Always consult your healthcare provider.

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