Menstrual Pain and Period Experience Survey
Please share your experiences with periods and menstrual pain to help us better understand women's health needs and plan a workshop series.
How old are you?
*
How would you describe your menstrual cycle?
*
Regular (period comes at predictable intervals)
Irregular (period timing varies)
Premenousal
Menopause
Postmenopause
Hysterectomy
Not sure
On average, how many days does your period last?
*
Please Select
1-2 days
3-4 days
5-6 days
7 days or more
How severe is your menstrual pain usually?
*
No pain
1
2
3
4
5
6
7
8
9
Severe pain
10
1 is No pain, 10 is Severe pain
When do you usually experience menstrual pain?
*
Before period starts
During period
After period ends
Pain occurs at random times
I do not experience pain
Which of the following symptoms do you experience with your period?
Cramps
Headaches
Nausea
Bloating
Back pain
Mood changes
Fatigue
Other
How do you usually manage menstrual pain?
Over-the-counter pain medication
Prescription medication
Heating pad/hot water bottle
Rest
Exercise
Dietary changes
Other
How much does menstrual pain affect your daily activities?
*
Not at all
A little
Moderately
Severely
Would you like to share any additional comments about your period or menstrual pain?
For our upcoming workshop on period pain management, what questions or concerns do you have about period pain for our doctors leading the discussion?
What myths have you heard about periods?
How were you taught about your periods?
By a family member
By a friend
In a special lesson at school
By a teacher or nurse at school
Internet
Books
Social Media
At what age did you first learn about periods?
0-5
6-10
11-14
15-18
18+
Submit
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