AASH Cycle & Wellbeing
Child loginCarer login
Transparency

What does ASH ask?

Families and professionals should be able to see the domains being recorded before deciding whether ASH is useful for them.

The 14 core wellbeing questions and the period/cycle question stay active. A carer can switch the supplementary ASD/neurodevelopmental group and the separate safety group on or off for each child profile.

The 1–6 daily scale

1
Not present
2
Minimal
3
Mild
4
Moderate
5
Severe
6
Extreme

The application compares the day with the young person's own usual baseline. The interface wording may be simplified for age-appropriate daily use while preserving the underlying domain and score.

Core daily wellbeing — 14 domains

Always on. These are the mandatory longitudinal wellbeing domains used by ASH for PMDD/PME pattern visibility.

1
Sadness or hopelessnessUnusually sad, low, hopeless or worthless.
2
Anxiety or tensionAnxious, frightened, tense, agitated or constantly on edge.
3
Mood swings or emotional sensitivityRapid mood change or unusual sensitivity.
4
Irritability or angerUnusually irritable, angry, argumentative or conflict-prone.
5
Reduced interest or enjoymentLess interested in activities, hobbies or people.
6
Difficulty concentratingHarder to focus, remember instructions or complete tasks.
7
Low energy or fatigueUnusually tired, slowed down or unable to begin activities.
8
Appetite or eating changesNoticeably more or less eating, or unusual cravings.
9
Sleep changesSleeping substantially more or less, or difficulty sleeping.
10
Feeling overwhelmed or out of controlOrdinary demands feel unusually difficult.
11
Physical symptomsPain, headache, bloating, breast tenderness, nausea or other discomfort.
12
School and daily-task functioningHow much symptoms interfered with responsibilities.
13
Activities and social participationHow much symptoms interfered with hobbies, outings or social contact.
14
RelationshipsHow much symptoms interfered with family, friends, teachers or other people.

Supplementary autism / ADHD-related observations

Carer-controlled. These 6 questions can be enabled or disabled for each child. When enabled, they help show whether sensory, executive, behavioural or communication-related difficulties change repeatedly with the menstrual cycle. They remain separate from PMDD diagnostic criteria and are analysed as their own longitudinal domains.

15
Sensory sensitivitySound, light, touch, clothing, smells or crowds more difficult than usual.
16
Need for samenessHarder to tolerate changes, waiting, uncertainty or interruptions.
17
Meltdown, shutdown or withdrawalStronger episodes or more recovery time than usual.
18
Executive functioningHarder to start, organise, switch between or finish tasks.
19
Impulsivity or restlessnessMore acting before considering consequences or unusual restlessness.
20
Communication and social effortSpeaking, explaining feelings or managing social demands felt harder.

Safety review

Carer-controlled. Safety responses are stored separately from ordinary symptom scores. If this group is disabled, ASH does not collect a safety response on those check-ins and should not be treated as monitoring for immediate risk.

1
Self-harm actionWhether self-harm happened that day.
2
Suicidal thoughtsWhether there were thoughts about killing oneself that day.
3
Ability to remain safeWhether the young person feels safe with themselves right now.

Period / cycle question

Always on. ASH keeps the period question active because a new period start is the anchor used to align cycles and build longitudinal PMDD/PME views.

ASH does not turn these answers into a diagnosis.The longitudinal record is intended to support a conversation with an appropriately qualified professional.