Female Questionnaire
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This section deals with your periods.

Q497

Do you suffer from anxiety related to your menstrual cycle?
  • No / don't know
  • Moderate
  • Severe

Q498

Do you experience breast tenderness, soreness or swelling associated with your cycle?
  • No / don't know
  • In the past only
  • Mild
  • Moderate
  • Major

Q499

Do you suffer from depression during or before your period?
  • Don't know
  • No
  • Moderate
  • Severe

Q500

Do you experience hot flashes and, if so, when do they occur?
  • Not applicable / don't know
  • No, I do not experience hot flashes
  • Yes, during or around time of period only
  • Yes, between periods only
  • Yes, both during and between periods

Q501

Do you suffer from Premenstrual Syndrome (PMS)?
  • No / don't know
  • Minor
  • Moderate
  • Serious
  • Severe

Q502

Do you suffer irritability related to your menstrual cycle?
  • No / don't know
  • Occasionally / moderate
  • Often / severe

Q503

Water retention (edema) - do your ankles swell before menstruation?
  • No / don't know
  • Occasionally / moderately
  • Often / severely

Q504

Are your natural menstrual cycles irregular? In other words, does the cycle length and/or the amount/duration of bleeding vary significantly from cycle to cycle? Do not answer if you have been using hormonal birth control for over 6 months.
  • Don't know / used birth control for over 6 months
  • No, my cycles are usually quite similar/regular
  • Yes, I have occasional moderate cycle variations
  • Yes, regular moderate variation / occasional major
  • Yes, regular major variations, very unpredictable

Q505

What is the average length of your natural menstrual cycle? Select 'normal' if you have been using hormonal birth control for over 6 months.
  • Very short (under 21 days)
  • Short (21 to 25 days)
  • Normal, 26-31 days / on birth control / don't know
  • Long (32 to 36 days)
  • Very long (over 36 days)

Q506

Do you have bleeding between periods?
  • Don't know
  • No
  • Occasionally / moderately
  • Often / severely

Q507

How would you rate your average menstrual bleeding?
  • Don't know
  • Light
  • Normal / average
  • Heavy
  • Very heavy

Q508

Have you experienced missed periods that are unrelated to pregnancy, breast feeding, menopause or birth control pill use?
  • No / don't know
  • Yes, but not in the last two years
  • I occasionally miss a period
  • I regularly miss a period or 1 to 2 in a row
  • My periods are infrequent or absent

Q509

Do you have mood swings related to your menstrual cycle?
  • No / don't know
  • Occasionally / moderate
  • Often / severe

Q510

Do you suffer from painful menstrual cramps (painful menstruation)?
  • Never had them / don't know
  • Probably had them/minor episode(s) now resolved
  • Major episode(s) now resolved
  • Current minor/occasional problem
  • Current major/regular problem

Q511

Do you have poor concentration during certain parts of your menstrual cycle?
  • No / don't know
  • Occasionally / moderate
  • Often / severe

Q512

Do you have weight gain greater than 3 pounds (1.5kg) and / or abdominal bloating associated with your cycle?
  • Don't know
  • No
  • Weight gain
  • Abdominal bloating
  • Both

Q513

Do you have a sugar, chocolate or carbohydrate craving associated with your cycle?
  • No / don't know
  • Occasionally / moderate
  • Often / severe