PMDD Mini-NAQ: scoring model and open calls

The questions list says the past 3 months; the merged sheet says 90 days on onboarding, 30 days on reassessment. Those agree for onboarding but the reassessment window is not stated in the questions list. Confirm 30 days is right for reassessment, and confirm it is applied to every question rather than only some.

The existing bands have gaps and at least one overlap, and they were built for the 15-column model rather than the new 8. Every band needs restating for the new systems. I can compute defaults as percentages of each column maximum, but where a woman tips from Medium to High is a clinical line, not a mathematical one.

Confirm this rollup. Two specific points. Does the Digestion bar show the DIGESTION column total, or the sum of its four drill-downs? Those give different numbers, and the sheet computes both. And is "Nervous System" genuinely the same column as ADRENALS, or does it need its own set of questions covering sleep, stress load, and nervous-system regulation, which the current question list scores into Adrenals?

The tagging matrix for untagged questions. Roughly half the Mini-NAQ questions have no weights filled in. I can draft a first pass by carrying weights across from the merged sheet where the question matches, but every new or reworded question needs her call on which systems, patterns and nutrients it feeds and at what weight. This is the single largest piece of work and it is hers, not mine.

Which patterns survive. The Mini sheet lists 48 symptom patterns, including Prostate Imbalance and Male Hormone Imbalance, which have no place in an HMM product. Others may be too clinical to surface even to a practitioner. She should strike the list down to what she will actually use.

Cutoff bands per system. See the scoring model. The existing bands have gaps and an overlap and were built for the old column set. Where does a woman tip from Medium to High?

The top-ten selection rule. The outline says patterns 1 to 5 are the highest totals, and 6 to 10 are the highest percentages excluding the first five. Confirm the percentage is score over total-possible for that pattern. Worth knowing: a pattern with a total-possible of 1, such as Liver/Biliary Replacement Need after gallbladder removal, hits 100% on a single answer and would crowd out real findings. That rule needs a floor.

Lab recommendation logic. The client report should recommend from DUTCH+, GIMAP, Functional Blood Chemistry, and HTMA. Which system or pattern scores trigger which lab, and at what threshold? For example, does a high Sex Hormones bar alone justify DUTCH+, or does it need a specific pattern behind it?

Supplement mapping. Five products are named: Marea multivitamin, Electrolyte Forte, Equip protein powder, Super Enzymes, Bio-Mega 1000. Which results justify which product, and how many are suggested? The outline says one or two. Note this is also where scope of practice bites hardest, since a specific product with a specific dose reads as a recommendation rather than education.

Health pillar priorities. Seven pillars from Module 3: Resilience, Nutrition, Movement, Sleep, Purpose, Relationships, Environment. How do system scores map to a pillar order? Some are obvious, high Blood Sugar to Nutrition. Purpose and Relationships have no obvious scoring route and may need their own questions or may simply be sequenced by the course rather than the assessment.

Reverse-scored diet questions. The diet block asks how often someone eats less than one serving of something, so a higher score means less intake. Confirm this is intended, because it reads backwards to a client answering quickly and is a common source of bad data.

How much of the pattern report a client should ever see. The two practitioner reports name things like Insulin Resistance, Colitis, and Chronic Viral Infections. These must not appear in the client-facing report in my reading, because they are diagnostic language. Confirm the practitioner reports stay strictly internal.

The reassessment window. 30 days on retake, applied to every question or only some? See the scoring model.

The menstrual cycle section needs to be authored, not adapted. I would expect it to cover cycle length and regularity, bleed character, the timing and shape of premenstrual symptom onset, how many days per cycle are affected, whether symptoms clear with the bleed, contraception and hormonal history, and whether she is cycling at all. Jes should write or approve the list; I can shape it into gates and scoring once the clinical content exists.

Histamine questions do not exist either. The outline asks for them and there is no source list. The current allergy and sensitivity block partly overlaps, so she should decide whether histamine becomes its own gated section or is folded into Immune and Inflammation.