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Health Simplified A to Z
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Registry
People
Health Simplified A to Z
Courses
Experts
Events
Podcasts
Industry
Registry
People
Health Simplified A to Z
Courses
Experts
Events
Podcasts
Industry
Registry
People
Health Simplified A to Z
Courses
Experts
Events
Podcasts
Industry
Registry
People
Health Simplified A to Z
Courses
Experts
Events
Podcasts
Industry
Registry
Embrace The Flow
Basic Form
Monthly Form
Close Form
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Layout
What is your age?
What is your BMI?
Click here to calculate your BMI
Where do you live currently?
Where did you grow up?
Rural environment
Urban environment
What is your educational status?
No education
Primary
Secondary
Higher
What is your working status?
Working
Not working
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Layout
Are you married?
Yes
No
Are you taking any hormonal contraceptive/birth control pills?
Yes
No
(Menstruation can change with contraceptive pills)
Do you have children?
Yes
No
(Menstruation can change with birth)
How many children(s) do you have?
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Layout
At what age was your first menstruation (menarche)?
Before 12
Between 13-15
After 16
Did you know about menstruation before you had it the first time?
Yes
No
How did you learn about menstruation and its management?
Parents
School
Internet (self-taught)
Friends
How did you feel when you first got your menstruation?
Proud
surprised
scared
neutral
Do you need more information about menstruation?
Yes
No
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Have you ever visited a female reproductive system doctor/gynaecologist?
Yes
No
If yes, how regular do you visit?
Less than once a year
More than once a year
Layout
Do you have any serious doctor-diagnosed hormonal or menstruation-related disease?
Yes
No
If yes, which disease?
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Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor?
Yes
No
If yes, are you getting a treatment for it?
(For example with Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Are you taking any health supplements?
Yes
No
(For example vitamin tablets)
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
Layout
Layout
Are you usually using any app or calendar to track your menstruation?
Yes
No
How long was your last cycle? How many days does menstruation last?
Layout
How much blood did you lose during your last menstruation?
Less than 30 mL (less than 2-3 tablespoons = light)
Approximately 30-60 mL (around 3-4 tablespoons = medium)
More than 60 mL (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 mL menstruation fluid x0.36 = 36 mL blood)
Layout
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if it is regular or for heavy flow or How often do you wash your menstruation cup?)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
Layout
How often do you wash your genital area?
More than once a day
Once a day
Less than once a day
Which brand of soap or special genital soap (e.g V Wash) do you use?
Do you use soap or special genital soap (e.g V Wash) every time?
Every time
Once a day
Never
Do you use water, soap or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
How often do you wash your genital area during your menstruation?
More than once a day
Once a day
Less than once a day
Do you use water, soap, or special genital soap (e.g., V Wash)?
Water
Soap
Special genital soap
Layout
Layout
What is your preferred menstrual product?
Menstruation cup
Pad
Tampon
Do-it-yourself
Which brand is your menstrual product?
How do you usually dispose off your menstrual product?
Why did you choose this menstrual product?
Since when have you been using your preferred menstrual product?
Since start of menstruation
Newly tried
If newly tried, why did you change from your last method?
Layout
How often do you usually change or clean your preferred menstrual product?
Every time it is dirty (more than once a day)
Once a day or every second day
After the menstruation (one use per menstruation)
Layout
Did you stain your clothes because of your last menstruation?
Yes
No
If yes, How often?
If yes, was it visible from the outside?
Layout
How much money do you usually spend on your menstruation?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Do you usually eat anything special during your menstruation?
Yes
No
If yes, what do you eat, why and when?
Layout
Do you usually have any PMS (premenstrual syndrome) symptoms?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
Did your menstruation ever stop you from going to school or work?
Yes
No
If yes, how often?
Once
Several times
Every menstruation
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Layout
How do you generally feel when you have your menstruation?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
I am not able to follow my daily routine
Layout
Do you feel disturbed by your menstruation?
Yes
No
If you yes, please explain why?
Submit
Close Form
Month 1
First Month Registry
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 mL (less than 2-3 tablespoons = light)
Approximately 30-60 mL (around 3-4 tablespoons = medium)
More than 60 mL (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 mL) in total = approximately 100 ml menstruation fluid x0.36 = 36 mL blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 2
Second Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 3
Third Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 4
Fourth Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 5
Fifth Month
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 6
Sixth Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 7
Seventh Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 8
Eighth Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 9
Ninth Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 10
Tenth Month
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 11
Eleventh Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 12
Twelfth Month
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 1
Month 2
Month 3
Month 4
Month 5
Month 6
Month 7
Month 8
Month 9
Month 10
Month 11
Month 12
Month 1
First Month Registry
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 mL (less than 2-3 tablespoons = light)
Approximately 30-60 mL (around 3-4 tablespoons = medium)
More than 60 mL (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 mL) in total = approximately 100 ml menstruation fluid x0.36 = 36 mL blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other
If Other then explain it.
Which brand was your menstrual product this month?
Is this your preferred menstrual product?
I always use this
Newly tried
If newly tried, why did you change from your last method?
Why did you choose this menstrual product?
Layout
How many tampons/pads/do-it-yourself products did you use?
(Please indicate if regular or for heavy flow)
Is that your normal amount?
Yes
No
If No, do you have any explanation?
Layout
How often did you change or clean your preferred menstrual product this month?
Every time it was dirty (more than once a day)
Once a day
Every 2nd day
After the menstruation (one use per menstruation)
Other
If Other, then Explain it
Layout
Did you have any adverse side effects using your preferred menstrual product this month?
Yes
No
If you had any side effects, what are the side effects
If you had any side effects, how long did they last?
If you had any side effects, did you go to a female reproductive system doctor/gynaecologist?
Yes
No
If you had any side effects, what was the treatment?
Layout
How satisfied were you with your menstrual product this month?
Very much
Ok
Not good
If you are not satisfied, why you don’t change it?
Layout
How did you dispose off your menstrual product this month?
Layout
Layout
How often did you shower generally this month?
More than once a day
Once a day
Less than once a day
Do you use soap or special genital soap every time?
Every time
Once a day
Never
Do you use water, soap, or special genital soap (e.g., V Wash) to wash your genital area?
Water
Soap
Special genital soap
Which brand of soap or special genital soap did you use this month?
Layout
How much money did you spend on your menstruation this month?
(Including hygiene materials and other expenses such as special food or new clothes)
Layout
Did you have any PMS (premenstrual syndrome) symptoms this month?
Yes
No
(For example: mood swings, tiredness, bloating, stomach/lower pain, breast pain/sensitivity, change in appetite)
Layout
If yes, what are the symptoms?
If yes, how long (in days)?
Layout
How was your mood before menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood after menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
How was your mood during menstruation?
Good
Neutral
Bad
Other
If Other, then explain it.
Layout
Did you feel disturbed by your menstruation this month?
Yes
No
If you yes, please explain why?
Layout
Did you eat anything special during your menstruation this month?
Yes
No
If yes, What are you eating and when?
Layout
Did your menstruation stop you from going to school or work this month?
Yes
No
If yes, how often?
Once
Several times
Whole week
If yes, what was the reason?
Had pain
Felt ashamed
Couldn’t leave home
Other
If Other, then explain it.
Layout
How do you generally feel about your menstruation this month?
Good
Ok
Bad
If you choose bad, why do you feel bad?
Because of pain
I feel ashamed
I get treated bad because of my menstruation
Am not able to follow my daily routine
Other
If you selected Other, then explain it.
Submit
Month 2
Second Month
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Please enable JavaScript in your browser to complete this form.
Did anything significantly change since the last questionnaire?
Yes
No
(For example: home, educational status, marriage, work, hormonal contraceptive/birth control pills, weight/BMI) (BMI calculation: weight in kilograms divided by height in metres squared) (example: 60 kg and 1.65 m: 60/1.65 2 = 22.04 = 22.0 BMI)
If Yes fill in detailed
Layout
Did you use any app or calendar to track your menstruation this month?
Yes
No
If yes, why did you visit?
Regular Check
Special Purpose
Layout
Have you been recently diagnosed with anaemia (not enough red blood cells) by a doctor this month?
Yes
No
If yes, are you getting a treatment for it?
(For example Iron or Vitamin tablets)
Layout
Have you been diagnosed with any vaginal disease, such as vaginosis (infection of the vagina), by a doctor this month?
Yes
No
If yes, which disease?
(For example bacterial vaginosis)
If yes, are you getting a treatment for it?
(For example antibiotics)
Layout
Did you take any health supplements this month?
Yes
No
If yes, how regular?
Every day
Every week
Once a month
If yes, which one?
(For example Vitamin tablets)
Layout
Did you stain your clothes because of your menstruation this month?
Yes
No
If yes, How often?
Layout
How much blood did you lose during your menstruation this month?
Less than 30 ml (less than 2-3 tablespoons = light)
Approximately 30-60 ml (around 3-4 tablespoons = medium)
More than 60 ml (more than 4 tablespoons = heavy)
(The amount of your menstruation fluid multiplied by 0.36) (Example: you had around 20 regular tampons/pads (approx. 5 ml) in total = approximately 100 ml menstruation fluid x0.36 = 36 ml blood)
Layout
Layout
How long was your cycle this month?
How many days did your menstruation last?
Layout
Which menstrual product did you use this month?
Menstruation cup
Pad
Tampon
Do-it-yourself
Other