HOW TO COMPLETE THIS SCORECARD

NOW: Rate each symptom using the 0-10 scale. 0 = completely absent; 10 = as severe as it has ever been.
Reviews: Re-score at each practitioner check-in so protocol effectiveness can be tracked over time.
Context: Add brief clarification in the right-hand column wherever relevant.
Save: Create a temporary Resume ID if reviews will be completed over multiple visits. After that, the encrypted draft and score summary sync automatically.
Download: When all four check-ins are complete, download the completed PDF and keep your Resume ID private.
Markers: ★ = Highest-priority executive performance markers. ♂ / ♀ = Sex-specific items.

Temporary Resume ID

Save an encrypted draft for 28 days so later reviews can be completed without starting over.

No Resume ID yet. Create one before leaving this page if you need to continue later.

Full Name

Date of Birth

Gender

Occupation

Date (Now)

Review 1 Date

Review 2 Date

Review 3 Date

Domain subtotals are simple sums of entered 0-10 symptom ratings. The composite score is the simple sum of the seven domain subtotals.

0Not present

1-2Mild / occasional

3-5Moderate / regular

6-8Significant / frequent

9-10Severe / constant