ENDOMETRIOSIS HEALTH PROFILE (EHP)-30

DURING THE LAST 4 WEEKS, HOW OFTEN, BECAUSE OF YOUR ENDOMETRIOSIS HAVE YOU...*

	Never	Rarely	Sometimes	Often	Always
1. Been unable to go to social events because of the pain?
2. Been unable to do jobs around the home because of the pain?
3. Found it difficult to stand because of the pain?
4. Found it difficult to sit because of the pain?
5. Found it difficult to walk because of the pain?
6. Found it difficult to exercise or do the leisure activities you would like to do because of the pain?
7. Lost your appetite and/or been unable to eat because of the pain?
8. Been unable to sleep properly because of the pain?
9. Had to go to bed/lie down because of the pain?
10. Been unable to do the things you want to do because of the pain?
11. Felt unable to cope with the pain?
12. Generally felt unwell?
13. Felt frustrated because your symptoms are not getting better?
14. Felt frustrated because you are not able to control your symptoms?
15. Felt unable to forget your symptoms?
16. Felt as though your symptoms are ruling your life?
17. Felt your symptoms are taking away your life?
18. Felt depressed?
19. Felt weepy/tearful?
20. Felt miserable?
21. Had mood swings?
22. Felt bad tempered or short tempered?
23. Felt violent or aggressive?
24. Felt unable to tell people how you feel?
25. Felt others do not understand what you are going through?
26. Felt as though others think you are moaning?
27. Felt alone?
28. Felt frustrated as you cannot always wear the clothes you would choose?
29. Felt your appearance has been affected?
30. Lacked confidence?

Please check that you have ticked one box for each question before moving onto the next page.

	Never	Rarely	Sometimes	Often	Always	If not relevant, tick here
1. Experienced pain during or after intercourse?
2. Felt worried about having intercourse because of the pain?
3. Avoided intercourse because of the pain?
4. Felt guilty about not wanting to have intercourse?
5. Felt frustrated because you cannot enjoy intercourse?

PART 1: CORE QUESTIONNAIRE

	Never	Rarely	Sometimes	Often	Always
1. Had to take time off work because of the pain?
2. Been unable to complete tasks at work because of the pain?
3. Felt embarrassed about symptoms at work?
4. Felt guilty about taking time off work?
5. Felt worried about not being able to do your job?

	Never	Rarely	Sometimes	Often	Always
1. Found it difficult to look after your child/children?
2. Been unable to play with your child/children?

	Never	Rarely	Sometimes	Often	Always
1. Felt the doctor(s) you have seen is (are) not doing anything for you?
2. Felt the doctor(s) thinks (think) it is all in your mind?
3. Felt frustrated at the doctor’s/doctors’ lack of knowledge about endometriosis?
4. Felt like you are wasting the doctor’s/doctors’ time?

	Never	Rarely	Sometimes	Often	Always
1. Felt frustrated because treatment is not working?
2. Found it difficult coping with the side effects of treatment?
3. Felt annoyed at the amount of treatment you have had to have?

	Never	Rarely	Sometimes	Often	Always
1. Felt worried about the possibility of not having children/more children?
2. Felt inadequate because you may not/have not been able to have children/more children?
3. Felt depressed at the possibility of not having children/more children?
4. Felt that the possibility of not conceiving/not being able to conceive has put a strain upon your personal relationship?