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How Much Are Painful Periods & Pelvic Pain Costing You?
Take the free 2-minute Life Impact Scorecard to see how your symptoms may be affecting your plans, daily routines, and the things you want to do.
How often have pelvic pain or difficult-period symptoms made it harder to work or handle my usual responsibilities?
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Rarely
Sometimes
Often
Almost always
How often have I changed, canceled, avoided, or said no to plans because of how I felt, or worried I might feel?
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Rarely
Sometimes
Often
Almost always
How often have I shown up for something but struggled to fully enjoy or participate because I was managing symptoms?
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Rarely
Sometimes
Often
Almost always
How often have you had to plan your day around symptoms, such as access to bathrooms, rest, supplies, medication, or changing activities?
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Rarely
Sometimes
Often
Almost always
When symptoms show up and you still have responsibilities, which best describes what usually happens?
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I can usually respond in a way that supports me and continue or adjust my day
I figure something out, but it can be difficult
I usually push through because I don't know what else to do
My symptoms often take over or derail the rest of my day
How confident am I that I know how to support myself when symptoms interfere with my day?
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Very confident
Mostly confident
A little confident
Not confident at all
If painful periods or pelvic pain weren't taking up so much space in my life, what's ONE thing I'd want more of, or want back?
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When it comes to making changes that could help you manage everyday life with painful periods or pelvic pain, where are you right now?
I'm mostly looking for information and understanding.
I'm exploring changes but unsure where to begin.
I've tried making changes but struggle to stay consistent.
I'm ready to work with someone who can help me create a personalized approach.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Pelvic Pain Scorecard Results
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