Wellness tool

Which PNH symptoms do you experience most often?

Select the symptoms below.

Please select at least one symptom.

Consider how often and how severe your symptoms are.

Move the sliding scales to reflect your experience.

Fatigue

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Headaches

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Shortness of breath

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Feeling of weakness

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Brain fog

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Loss of appetite

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Rapid heartbeat

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Abdominal/Chest pain

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Difficulty swallowing

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Erectile dysfunction

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

Back pain

Rarely
Sometimes
Often
All the time
Not too bad
Manageable
Pretty bad
Debilitating

How do you feel emotionally?

Select the feelings that best describe your experience.
Select all that apply.

Please select at least one emotion.

Take a moment to consider the impact these symptoms have on your qualiy of life.
Scientists point to 6 areas of overall wellness.

Which of these areas are most important to you?

Select as many areas as needed, but select at least one.

Please select at least one dimension.

Now consider your ability to thrive in each dimension while living with PNH.

Move the sliding scales to reflect your experience.

Emotional
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Occupational
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Physical
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Social
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree
Strongly Disagree
Disagree
Agree
Strongly Agree