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37
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1
What is your current age?
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2
Which stage best describes you?
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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
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3
Have you experienced medically induced menopause (e.g., due to surgery, chemotherapy, or other treatments)?
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If yes, please describe in the next question.
YES
NO
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4
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.)
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5
What age were you when you first noticed perimenopause symptoms? What were those initial symptoms, if you remember?
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e.g. irregular periods, mood swings, hot flushes, brain fog, sleep changes
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6
What age were you when menopause officially started (12 months with no period)?
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If still in perimenopause insert N/A
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7
Which of the following life circumstances are/were you navigating during this stage?
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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
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8
Have your home relationships been affected by menopause/perimenopause?
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Please Select
Yes
No
Not Sure
Please Select
Please Select
Yes
No
Not Sure
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9
If yes, how have your home relationships changed or been challenged?
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10
What Industry do you work in? (Or worked in most recently)
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Select all that apply
Healthcare or medical
Education (School, TAFE University)
Financial Services (banking, advice, insurance)
Government or public sector
Professional services (law, consulting, accounting)
Retail or hospitality
Trades, construction or manufacturing
Not-for-profit or community services
Arts, media, or creative
Technology
Agriculture or primary industry
Other
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11
What is your current work arrangement?
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Select all that apply
Full-time employed
Part-time employed
Casual
Self-employed or business owner
Not working by choice
Not working due to symptoms
Retired
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12
What best describes your role level?
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Select all that apply
Individual contributor/team member
Team Leader or supervisor
Middle manager
Senior manager or executive
Business owner or self-employed
Not applicable to my current situation
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13
Have your workplace relationships been affected by menopause/perimenopause?
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Please Select
Yes
No
Not Sure
Please Select
Please Select
Yes
No
Not Sure
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14
Did you tell anyone at work what you were going through?
Single choice required
Yes, my manager or supervisor
Yes, a close colleague or work friend
Yes, HR or the people team
Yes, multiple people at work
No, I kept it to myself
Not applicable (I'm self-employed, retired, or not currently working)
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15
What made you decide to tell them, or to keep it to yourself?"
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16
If yes, how have your workplace relationships changed or been challenged?
e.g. relationship with colleagues, manager, clients
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17
Has menopause/perimenopause impacted your work life?
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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
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18
How have your symptoms shown up for you at work?
*
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Select all that apply
Brain fog or memory lapses
Difficulty prioritising or making decisions
Struggling to stay focused on complex tasks
Difficulty with emotional regulation
Lack of confidence
Fear of judgement
Feeling misunderstood or unsupported by others
Experiencing imposter syndrome or self-doubt
Feeling less patient or empathetic with others
Increased irritability or frustation with colleagues
Physical symptoms making work uncomfortable (e.g. hot flushes during meetings)
None of these
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19
What you have done or not done because of your symptoms at work?
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Select all that apply
Reduced my hours or productivity
Increased absenteeism or needed more time off
Needed more recovery time after busy days
Avoided meetings
Hidden what's going on from colleagues
Avoided conflict or difficult conversations
Had conflict or misunderstandings at work
Hesitated to put my hand up for promotions or leadership roles
Turned down a promotion or leadership role I was offered
Chose not to apply for a role I would have gone for
Changed to a less demanding role or path
Left the job or industry
Considered leaving my career entirely
None of these
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20
When you're feeling well and operating in your usual state, which best describes your typical behaviour at work?
*
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Choose the one most like you
Direct, decisive and action-focused. I get things done and drive results
Outgoing, enthusiastic, and people-focused. I bring energy, ideas, and connection.
Steady, supportive, and patient. I hold things together and look after the team.
Careful, analytical, and quality-focused. I make sure things are done properly.
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21
When you're struggling with menopause symptoms (fatigue, brain fog, mood shifts, etc), how does your behaviour at work shift?
*
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Choose the one most like you
I become more direct or short with people. Less patience, more edge.
I become quieter or withdraw. Less outgoing, less visible.
I become more anxious about getting things right. More checking, more overthinking.
I become more emotional or reactive. Things land harder than they normally would.
I lose confidence and second-guess myself more than usual.
I push through and mask it. I try to behave as normal even when I'm struggling.
My behaviour doesn't really change
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22
What symptoms have you experienced at home and/or at work?
*
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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
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23
How would you describe the emotional or identity impact of these symptoms?
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24
If a moment springs to mind that captures the funny, foggy, or fabulous side of all this, we'd love to hear it. Skip if nothing comes to mind, no pressure.
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25
Which of the following relationships been affected by your menopause/perimenopause experience?
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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
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26
If yes, how have these relationships been changed or been challenged?
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27
What supports have you used or accessed during perimenopause/menopause?
*
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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
Peer support or online groups
Family or friend support
I haven't used any support
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28
What do you do to look after yourself during this stage of life?
*
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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
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29
What has helped you most so far?
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30
Would you like to stay involved with this research?
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Hear the research findings as they unfold through the Hot, Foggy & Fabulous newsletter (stories, insights, honest notes on midlife and work)
Be invited to future focus groups or interviews
No thanks, and that's absolutely 100% cool too. Thanks for participating, your experiences are so important
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31
Email
If you answered 'Yes' above
example@example.com
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32
Name
If you answered 'Yes' above
First Name
Last Name
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33
Tell us your story
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What are the best things, worst things, most surprising things or most disruptive parts of your experience?
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34
If you could summarise your experience or expectations in feelings, what would you say?
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35
Have you ever felt pressure to "push through" symptoms at work rather than acknowledge or manage them?
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YES
NO
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36
If you answered yes to the previous question, What made you feel that way?
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37
What kind of workplace or societal change would make the biggest difference for women experiencing menopause/perimenopause?
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