Hot, Foggy & Fabulous - Menopause Research Questionnaire

What is your current age?* This field is required.

Which stage best describes you?* This field is required.

Pre-perimenopause (no symptoms, regular cycles)

Perimenopause (irregular cycles and/or symptoms)

Menopause (12 months since last period)

Post-menopause (more than 12 months since last period)

Not Sure

Have you experienced medically induced menopause (e.g., due to surgery, chemotherapy, or other treatments)?* This field is required.If yes, please describe in the next question.

YESNO

If you’re comfortable, please share a few words about how medically induced menopause has shaped your experience, either personally or in the workplace.(Optional – your voice matters, but only if you're happy to share.)

What age were you when you first noticed symptoms? What were those initial symptoms, if you remember?* This field is required.e.g. irregular periods, mood swings, hot flushes, brain fog, sleep changes

What age were you when menopause officially started (12 months with no period)?* This field is required.If still in perimenopause insert N/A

Which of the following life circumstances are/were you navigating during this stage?* This field is required.Select all that apply

Raising children under 13

Parenting teenagers

Supporting adult children

Caring for aging parents

Recently lost a loved one/grieving

Recently separated/divorced

Changed careers or jobs

Started a new relationship

Experienced other major life change

N/A

Have your home relationships been affected by menopause/perimenopause?* This field is required.

If yes, with who and how?

What is your current work situation?* This field is required.Select all that apply

Full-time employed

Part-time employed

Casual

Self-employed/solo business

Not working by choice

Not working due to symptoms

Retired

Have your workplace relationships been affected by menopause/perimenopause?* This field is required.

If yes, with who and how?e.g. relationship with colleagues, manager, clients

Has menopause/perimenopause impacted your work life?* This field is required.Select all that apply

Yes, I reduced my hours

Yes, I changed jobs or roles

Yes, I left the workplace

No change, but it's been difficult

No impact

In what ways has it impacted your performance or engagement at work?* This field is required.Select all that apply

Brain fog or memory lapses

Avoiding meetings

Reduced hours or productivity

Lack of confidence

Fear of judgement

I've had to hide what's going on

Conflict or misunderstandings at work

Difficulty with emotional regulation

Struggling to stay focused on complex tasks

Feeling emotionally flat or disengaged

Increased irritability or frustation with colleagues

Needing more recovery time after busy days

Difficulty prioritising or making decisions

Increased absenteeism or needing more time off

Hesitation to put hand up for promotions or leadership roles

Experiencing imposter syndrome or self-doubt

Avoiding conflict or difficult conversations

Feeling misunderstood or unsupported by others

Feeling less patient or empathetic with others

Physical symptoms making work uncomfortable (e.g. hot flushes during meetings)

Nothing changed

What symptoms have you experienced at home and/or at work?* This field is required.Select all that apply

Hot flushes

Night sweats

Itchy skin

Brian fog

Anxiety

Mood swings

Depression or low mood

Fatigue or burnout

Heavy or unexpected periods (e.g. at work)

Irregular periods

Joint or muscle pain

Breast tenderness

Dry eyes or mouth

Sleep problems or insomnia

Low libido

Vaginal dryness or discomfort

Headaches or migraines

Memory issues

Irritability

Loss of confidence

Weight gain around waistline

Feeling invisible

Grief or loss of identity

Digestive issues or bloating

Palpitations or heart flutters

Hair thinning or hair loss

Increased facial hair

Dizziness or vertigo

Tinnitus (ringing in ears)

Tingling in extremities (hands/feet)

Urinary urgency or incontinence

Dry or thinning skin

Brittle nails

Emotional outbursts or crying easily

No symptoms yet

How would you describe the emotional or identity impact of these symptoms?

Have any of the following been affected?* This field is required.Select all that apply

Partner/Spouse relationship

Relationship with children

Friendships

Sexual or emotional intimacy

Communication at home

Relationship with colleagues or peers

Relationship with manager or supervisor

Relationship with clients

None

If yes, how have these relationships been changed or been challenged?

What supports have you used or accessed?* This field is required.Select all that apply

GP or medical support

HRT or hormone therapy

Counselling or therapy

Naturopath/natural supplements

Workplace support

Peer support or online groups

Family or friend support

I haven't used any support

What do you do to look after yourself during this stage of life?* This field is required.Select all that apply

HRT/MHT

Antidepressants or prescribed medication

Multivitamins or supplements

Walking

Running or cardio

Yoga

Tai Chi

Swimming

Gym or Strength Training

Meditation

Sex or physical intimacy

Streaming/TV downtime

Reading

Creative hobbies (art, writing, craft)

Regular time with friends or support circle

None yet

Other

What has helped you most so far?* This field is required.

If you're comfortable sharing, tell us a 'Hot, Foggy & Fabulous' moment you've had* This field is required.

When you're operating in your usual state, how do you typically behave at work?* This field is required.Choose the one most like you

I'm driven, assertive, and like making descisions quickly

I'm enthusiastic, outgoing, and enjoy motivating and connecting with others

I'm calm, loyal, and like supporting others and working steadily

I'm organised, precise, and like having clear rules or processes

When you're under pressure or feeling anxious, how do you usually respond?* This field is required.Choose the one most like you

I become more controlling or blunt - I want to fix things fast and get impatient

I become more emotional or scattered - I may speak impulsively or say things I regret later.

I withdraw or avoid direct conflict - but may become passive-aggressive if my needs aren’t acknowledged.

I overthink details and decisions - I may withdraw from others and default to diving deep into details.

Would you like to receive a summary of this research or participate in future focus groups?* This field is required.

Yes (enter email below)

EmailIf you answered 'Yes' above

example@example.com

NameIf you answered 'Yes' above

First Name

Last Name

Tell us your story* This field is required.What are the best things, worst things, most surprising things or most disruptive parts of your experience?

If you could summarise your experience or expectations in feelings, what would you say?* This field is required.

Have you ever felt pressure to "push through" symptoms at work rather than acknowledge or manage them?* This field is required.

YESNO

If you answered yes to the previous question, What made you feel that way?

What kind of workplace or societal change would make the biggest difference for women experiencing menopause/perimenopause?* This field is required.