Menopause Survey

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Menopause Survey

Menopause Survey

This form requires answers on a scale of 1 to 10 depending on how you feel.

6Questions

1
EmailPlease enter your email.
example@example.com
2
How has your experience been with gaining access/ support from your GP?1= a bad experience, 10 = a great experience
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Has the menopause affected your intimate health/ sex life?1 = not at all and 10 = severely impacts me a lot
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Has the menopause affected your confidence?1 = not at all and 10 = severely impacts me a lot
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Do you feel supported in the work place?1= a bad experience, 10 = a great experience.
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Have your relationships become more difficult since the menopause?1 = hasn't impacted my relationships and 10 = has severely impacted my relationships
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Should be Empty:

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