Your name and contact information will never be connected to this data when reviewing information to help further menstrual health research.
The information we collect in this quick survey will never be sold to a third party and will only ever be shared anonymously with the aim of furthering menstrual health research. In Q6&7 we use the Measure Yourself Concerns and Wellbeing (MYCaW®) questionnaire, which we have licensed from NHS-approved partner Meaningful Measures . Have a read of our Data Ethics Policy.
At the end of the course, we will ask you these questions again to help us see if or how the course has made a difference to your experience of the menstrual cycle.
Age?
This information helps us to understand which of the age groups may be in more need of Menstrual Cycle Support
Age
Choose One
13
14
15
16
17
18
18-24
25-35
36-45
46-55
Region in the UK?
This information helps us to understand where the regions that may be in more need of Menstrual Cycle Support
Region
Choose One
London
North East & Cumbria
North West
Yorkshire & The Humber
West Midlands
East Midlands
East of England
South East
South West
Cymru Wales
Scotland
Northern Ireland
Ethnicity?
This information helps us to understand which of the ethnicities in the UK that may be in more need of Menstrual Cycle Support
Ethnicity
Choose One
White British
White English
White Irish
Any other white background
Black Caribbean
Black African
Any other black background
Traveller of Irish Heritage
Gypsy/Roma
White & Black Carribean
White & Black African
White & Asian
Any other mixed background
Indian
Pakistani
Bangladeshi
Any other Asian Background
Any other ethnic group, please specify:
Pronouns
Pronouns
Choose One
She/Her
He / Him
They /Them
prefer not to say
What’s your relationship with your menstrual cycle?
0
1
2
3
4
5
6
Extremely negative relationship - Extremely positive relationship
Extremely negative = 0
How confident are you about talking about the menstrual cycle in healthcare appointments?
0
1
2
3
4
5
6
Extremely negative - Extremely positive
Extremely negative = 0
Please write down one or two concerns or problems which you would most like support with
Concern 1:
Concern 2:
Please select a number to show how severe each concern or problem is now:
This should be YOUR opinion, no-one else's!
Wellbeing:
How would you rate your general feeling of wellbeing now? (How do you feel in yourself?)
0
1
2
3
4
5
6
As good as it could be - as bad as it could be
As good as it could be = 0
I consent to the information/data I give in this survey to be shared anonymously to help improve the course and further menstrual health research.
Yes
No
