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Menopause Questionnaire
Your answers will be used for research purposes in the development of a mobile application for tracking menopause symptoms and helping women determine what factors affect their symptoms the most.
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* Indicates required question
What is your current age?
Your answer
How long have you been experiencing menopause symptoms?
Your answer
Which menopause symptoms do you most frequently experience?
*
Hot Flashes
Night Sweats
Mood Swings
Vaginal Dryness
Loss of Libido
Irregular Periods
I don't have my period anymore
Other:
Required
Do you currently keep track of any symptoms? If yes, which ones?
*
No, I don't keep track of my symptoms
Hot Flashes
Night Sweats
Mood Swings
Vaginal Dryness
Loss of Libido
Irregular Periods
Other:
Required
Which symptoms are most important for you to keep track of?
I don't keep track of my symptoms
Hot Flashes
Night Sweats
Mood Swings
Vaginal Dryness
Loss of Libido
Irregular Periods
Other:
How do you currently keep track of your symptoms?
(Journaling, Mobile Apps, Online Tools, etc.)
Your answer
How important is it for you to keep track of your symptoms?
*
Not important
Somewhat important
Important
Very Important
Do you currently keep track of other things that may affect Menopause symptoms?
if yes please choose from the options below or explain
Meals
Activities (workouts, cleaning, dancing, etc)
Sleep Quality
Mood and feelings
Stress
Other:
Please feel free to give us any input on what you would like to see in the development of a mobile application for tracking symptoms and helping you determine what factors affect them the most.
(optional)
Your answer
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