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Menstruation Questionnaire

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tanayadas3086
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135 views

Menstruation Questionnaire

Uploaded by

tanayadas3086
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Menstruation questionnaire

{I am Riya Das of class XI, under AISSCE. This survey is on the topic
Menstruation for formulating the school project and not for any official
use or purpose}

1. Name–
2. Age-
3. Sex-
4. Occupation-
5. Qualification-
6. Address-
7. Have you ever menstruated before?
o Yes
o No
o I don’t know
8. Do you think menstrual pain is ‘normal’?
o Yes, it always hurts
o Yes, it hurts sometimes
o No, it should not hurt too much
o I don’t know
9. Are you embarrassed to talk about menstruation?
o Yes
o No
o I don’t know
10. Have you ever spoken with someone about menstrual
pain?
o Yes,with_______________________________________________
_______________________________________________________
_______________________________________________________
________________________
o No
o I don’t know
11. Do you stop going to school when you menstruate?
o Yes, always
o Yes, sometimes
o Very few times
o No never
12. Do you stop exercising or going to physical education
when you menstruate?
o Yes, always
o Yes, sometime
o Very few times
o No, never
13. Are you scared of staining you clothes with blood when
you menstruate?
o Yes
o No
o Maybe
14. How often have you made up excuse not to say that you
are menstruating?
o Always
o Sometimes
o A very few times
o Never
15. Has anyone ever made fun of you for menstruating?
o Yes
o No
o Sometimes
16. Are you embarrassed of buying menstrual products?
o Yes
o No
o Maybe
17. Have you ever lacked any money to buy menstrual
products?
o Yes, always
o Yes, sometime
o Very few times
o No, never
18. Are you restricted from going to religious places during
your menstruation?
o Yes
o No
19. Are you comfortable to talk about menstruation with
your family?
o Yes
o No
20 . Can you get engaged in family functions during
menstruation?
o Yes
o No
21. Have you ever used cloth instead of pads during
menstruation?
o Yes
o No
o Sometimes
22. Do you need to stay separately during periods
o Yes
o No
23. According to you, does menstruation limit what people
can do?

____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
_____________________________________________
24. Do you think menstruation norms hold any scientific
explanations? Should they be followed?
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
_____________________________________________

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