Survey for a Research Project!
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You are a _________? *
1. Full Name *
2. Email Address *
3. Age *
4. Weight *
5.  Do you have any pre-existing health conditions or medical diagnoses that may affect your menstrual cycle or overall well-being, such as diabetes, PCOD/PCOS, thyroid disorders, or others? *
5(i).  If yes, please specify the health condition(s) and from how many years you are dealing with it?
5(ii). If you are diabetic and recently checked your pre and post meal sugar levels, please share.
6. Are you obese? (Yes/No) *
7.  How many years have you been menstruating? *
7 (i). What was your age when you got your first period? (menarche)
 *
7 (ii). If you have stopped menstruating, what was your age when you hit menopause?
8.  On an average, how long is your menstrual cycle? (Number of days between the start of one period and the start of the next) *
8(i). Do you use any period tracking app(s) or any digital tracker? (Y/N) 

If yes, please tell us a little about your experience.
 *
9.  Do you experience regular or irregular menstrual cycles? *
10.  How would you describe your overall mood during your menstrual period? *
11.  Do you notice any changes in your energy levels during menstruation? *
12.  How does your appetite change during menstruation? *
13.  Do you experience any physical discomfort (e.g., cramps, headaches) during menstruation, and how do you manage it? *
14. Do you take any medications to ease the discomfort?  *
15.  Have you ever had to miss school/college or work due to menstrual-related issues? *
16.  If yes, please briefly describe the reasons for missing school or work during menstruation.
17.  Do you feel comfortable discussing menstrual-related issues with your friends, family, or colleagues? *
18.  What menstrual products do you typically use during your period? (Select all that apply) *
Required
19. Are there specific brands or types of menstrual products that you prefer, and why?
 *
20. How many hours of sleep do you typically get on average per night during your menstrual period and normal days? *
21.  Do you experience any sleep disturbances (e.g., insomnia, restless sleep) specifically related to your menstrual cycle? *
If yes, please describe the sleep disturbances you experience.
22.  Do you engage in regular physical activity or exercise during your menstrual period? *
If yes, please describe the type and intensity of physical activity or exercise you engage in during your menstrual period.
22(i).  On average, how would you describe your lifestyle and activity level on typical, non-menstrual days? *
22(ii).  Do you engage in any alternative practices, such as yoga or meditation, consume herbal tea to manage symptoms or improve well-being during your menstrual period? *
22(iii).  If yes, please describe the alternative practices you use and their impact on your menstrual experience.
23.  Please describe any changes in your hygiene routines during your menstrual period. *
24. How does your screen time (time spent on devices like smartphones, tablets, and computers) change during your menstrual period? *
25.  Do you use screen time as a distraction or coping mechanism during your menstrual period and how is your experience? (Y/N) *
25(i). What is your average screen time on normal days? *
26.  Do you notice any emotional changes or mood fluctuations in the days leading up to your menstrual period and during your period itself? *
26(i).  If yes, please describe the emotional changes you typically experience and how they may vary before and during your period.
26(ii).  Do you make any specific lifestyle adjustments (e.g., social activities, travel plans) to accommodate your menstrual cycle?) (Yes/No/Anything else you wish to add about your experience) *
27.  How does your diet change during your menstrual period in terms of food cravings and preferences? *
27(i).  During your menstrual period, do you experience cravings for specific types of foods, such as chocolate, sweets, or salty snacks? *
If yes, please describe the types of foods you typically crave and the intensity of these cravings.
28. If you are currently employed or working, please specify the field or industry you are engaged in. If you are not employed or working, you may skip this question.
28(i). How would you describe the overall environment of your current school, college, or workplace?
 *
29.  Are there specific activities or behaviors that you avoid or engage in more frequently during your menstrual period? Please describe. *
30. Is there anything else you would like to share about your experiences or behavioral patterns during menstruation?
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