Period Anxiety Survey

1

Age

18-25

26-30

31-40

41-50

51+

3

How would you rate your overall experience managing your period in public spaces?

Very positive

Somewhat positive

Neutral

Somewhat negative

Negative

4

Have you ever experienced anxiety about managing your period while outside the home?

Yes, frequently

Yes, occasionally

Rarely

Never

5

What aspects of managing your period outside the home contribute to your anxiety? (Select all that apply)

Lack of access to clean and private bathrooms

Inadequate supply of period products

Fear of leaks or accidents

Stigma or embarrassment

Lack of disposal options for period products

Uncomfortable or unsanitary conditions in public bathrooms

Safety concerns

Other

6

Have you ever canceled or changed plans due to anxiety about managing your period outside the home?

YESNO

7

How does anxiety about managing your period outside the home affect your life? (Select all that apply)

Avoiding certain locations or activities

Increased stress or worry

Discomfort in social situations

Missing important occasions

Other

8

Have you ever avoided certain locations due to concerns about managing your period?

YESNO

9

How would you rate the availability of period products in public bathrooms (e.g., tampons, pads)?

Excellent

Good

Fair

Poor

Very Poor

10

How would you rate the cleanliness and suitability of public bathrooms for managing your period?

Excellent

Good

Fair

Poor

Very Poor

11

What additional services or resources would make managing your period in public spaces easier? (Select all that apply)

Free access to period products

Private and clean bathroom stalls

Better disposal options (e.g., more disposal bins)

Accessible sinks inside stalls

Gender neutral bathrooms

Other

12

Please share any specific challenges you have faced while managing your period outside the home:

13

What suggestions do you have for improving public bathroom facilities for people managing their periods?

14

Can The M Scale contact you further?

YESNO

15

EmailIf you want to stay in touch - not mandatory

example@example.com