Direction A · Clinical Checklist

Tick what you live with

Work through the eight body systems below. Marking any symptom counts that system as involved. Your score builds as you go.

Diabetic & Metabolic

Glucose dysregulation and connective-tissue laxity that frequently co-travel with autonomic disease.

2 pts

Type 2 diabetesPrediabetes / insulin resistanceJoint hypermobility (EDS spectrum)

Intestinal Dysfunction

Enteric autonomic involvement across the GI tract.

3 pts

Impaired motility / gastroparesisGERD / acid refluxIBS / IBDNauseaConstipation or diarrhoeaDry mouth / decreased salivation

Sudomotor (Sweating) Dysfunction

Abnormal sweat regulation — over- or under-production.

2 pts

Hyperhidrosis (excess sweating)Night sweatsAnhidrosis (reduced sweating)

Emotional Instability

Mood, affect and pain-processing changes linked to autonomic load.

3 pts

DepressionMood swingsAnxiety / panicADD / ADHDChronic pain“Coat-hanger” neck & shoulder stiffness

Arterial & Venous Vascular Instability

Blood-pressure and vasomotor control failure — the cardinal cardiovascular axis.

3 pts

POTS (postural tachycardia)Orthostatic hypotensionSyncope / dizzinessLabile / uncontrolled hypertensionMicrovascular dysfunction (erythromelalgia)Raynaud’s / vasospasmBlurred visionMigraine or tension headache

Sleep Dysfunction

Disordered arousal and sleep architecture.

2 pts

Sleep apneaRestless leg syndromeSnoringDisturbed sleep / narcolepsy

Excessive Debilitation

Whole-body deconditioning, fatigue and cognitive impairment.

3 pts

Brain fogBalance problemsFatigueAmbulatory dysfunctionWord-finding difficultyShort-term memory loss

Sensory & Parasympathetic Dysfunction

Sensory hypersensitivity and parasympathetic signalling across the nervous system.

3 pts

Hypersensitivity to lightHypersensitivity to soundMotion sensitivityPins & needles in arms / legsShortness of breathTinnitus (ringing in ears)Heat intolerance