Menstrual Health Check

Menstrual Health Check

A questionnaire about cycle length, flow, pain, and PMS symptoms.

How long is your typical menstrual cycle (day 1 to day 1)?

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Compared with your usual pattern, your cycle length recently has been:

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How many days does your period typically last?

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How would you describe the flow on each day?

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What color is your menstrual blood?

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Does your menstrual blood contain clots?

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On a scale of 0-10, what is your typical pain level?

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Where do you feel pain?

Select all that apply

Do you experience any of these PMS symptoms?

Select all that apply