Menopause Stigma Survey
We appreciate you taking the time to further our menopause research.

Feel free to share it with others who are also in perimenopause & menopause.

We appreciate your help.

xo ~ Andrea, Co-founder, www.wearemorphus.com

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1. How old are you? *
2. Please tell us if you are in: *
3. Do you feel there is a stigma associated with perimenopause and menopause? *
4. How would you describe your (peri)menopause symptoms? *
Mild
Severe
5. Are you comfortable talking about your perimenopause or menopause experience with others (it could be anyone)? *
5A. If you answered YES or SOMEWHAT to talking  to someone about your perimenopause / menopause experience, who do you feel most comfortable sharing it with? Check all that apply.
6. Have you shared/talked to your DOCTOR or HEALTH CARE PROVIDER about how you are feeling, and/or have you shared your symptoms with her/him? *
6A. If you answered YES to question #6 above, what type of health care provider or doctor did you go to or see regarding your symptoms? Check all that apply.
6B. If you answered YES to question #6 about sharing/talking to your Health Care Provider or Doctor about how you feel, how did s/he respond, and/or how did you feel at the visit? Check off all that apply: 
7. Did YOU bring up the topic of HORMONES or HORMONE THERAPY to your doctor or health care provider during your visit?
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7A. Did your doctor or health care provider bring up the topic of HORMONES or HORMONE THERAPY to YOU during your visit?
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8. Did YOU bring up the topic of SUPPLEMENTS to your doctor or health care provider during your visit? *
8A. Did your doctor or health care provider bring up the topic of SUPPLEMENTS to YOU during your visit?
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9. Do you have any suggestions for future surveys/research? 
10. Please let us know if you have any questions and/or comments.
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