Peri/Menopause Survey | FemTalkAsia

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1. What is your age group?

18-25 years
26-35 years
36-45 years
46-55 years
56-65 years
Over 65 years
Prefer not to say

2. Please tell us your income bracket

less than 15,000 USD
15,000 - 29,999 USD
30,000 - 44,999 USD
45,000 - 55,999 USD
60,000 - 74,999 USD
75,000 - 100,000 USD
More than 100,000
Prefer not to say

3. Tell us your education level

None
Primary/Elementary
Secondary/High school
Undergraduate
Postgraduate
Prefer not to say

4. Do you feel like you are in perimenopause or menopause?

Yes
No
Have not yet sought help

5. What symptoms have you experienced? (Select all that apply.)

Hot flashes
Night sweats
Sleep disturbances
Mood changes (e.g., irritability, sadness, anxiety)
Irregular periods
Changes in libido
Vaginal dryness
Weight gain
Other

Please let us know what other symptoms you are/have experience/d?

6. For how long do you think you have been suffering the symptoms?

Not yet suffering symptoms
Less than 1 month
2-12 months
13-24 months
2-5 years
6-10 years
11-16 years
Over 16 years

7. On a scale of 1 - 10, how severe would you rate your symptoms overall, with 1 being not severe at all and 10 being extremely severe?

8. Do you have other underlying illnesses or symptoms that are exacerbated by perimenopause/menopause?

Yes (please provide us more detail)
No

9. How have these symptoms impacted your daily productivity?

Not at all
Somewhat
Significantly
Extremely

10. Have the symptoms impacted your personal relationships (e.g., with partner, children, friends)?

Yes
No
Somewhat

11. How informed do you feel about perimenopause and its potential treatments?

Very informed
Somewhat informed
Not informed at all

12. Have you felt supported by your healthcare provider in managing your symptoms?

Yes
No
I haven't sought help yet

13. Have you tried any treatments or remedies for your symptoms? (Select all that apply.)

Hormone Replacement Therapy (HRT)
Herbal or natural supplements
Lifestyle changes (e.g., diet, exercise)
Other

Please let us know what other solutions you use or have identified?

14. If employed, have your symptoms caused you to miss work or underperform?

Yes
No
Somewhat

15. Do you feel societal pressures or stigmas attached to discussing perimenopause openly?

Yes
No
Unsure

16. Have you joined any support groups or communities to discuss your perimenopause experiences?

Yes
No

17. Would you be interested in further educational resources on perimenopause?

Yes
No

18. In a few sentences, please share any additional challenges or experiences related to perimenopause that you'd like to highlight:

19. Tell us about any resources you have found that are helpful (e.g. books, podcasts, forums)

20. Please tick which, if any, of the following services, approaches or products that you would like more information about

Cooling blanket
Cooling mattress
Wearable cooling clothes
Bladder support device/s for urinary incontinence
HRT therapies and women's first hand experiences of them
Continual hormone tracker to monitor changes in hormone levels
Apps to track hormones and symptoms and suggest approaches and supplements for better health
Smart pelvic floor trainer
Other

What other services or solutions would you like more information about?

If you wish, you can provide us with your initials and/or some information about your country/continent, and ethnicity– this is not obligatory, but could draw attention to specific gaps in tech or thinking. We will only publish initials and location on public posts.

Email

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Thank you for completing this form. It will help fill a huge data gap we have regarding women’s health.

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Home
Learn
- Hormones
  - Health, Hormones & Productivity
- Peri/Menopause
  - Symptoms
Support
Community
About
- About Us
- Terms & Conditions