Your Menopause Story
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Menopause Survey



Your menopause story made easy...

MAKE SURE YOU HAVE ALREADY FILLED OUT A RELEASE FORM. IT GIVES ME PERMISSION TO USE THE ITEMS IN YOUR STORY AND THIS SURVEY IN MY BOOK AND ANY OTHER FORM DERIVED FROM IT. CLICK HERE TO FILL OUT THE RELEASE FORM. IF YOU ALREADY FILLED IT OUT, CONTINUE ON TO COMPLETE THE SURVEY!

FULL NAME, this is for my records only.
EMAIL, I will not give it to anyone!
AGE
GENDER
STATE & COUNTRY YOU LIVE IN
AGE YOU BEGAN MENOPAUSE
HOW LONG DID IT LAST
DID YOU HAVE PERI MENOPAUSE
HOW LONG DID PERIMENOPAUSE LAST
Do you know the age of your mother or sisters when they began menopause?
What were some of the side effects of menopause?
Did your symptoms change over time?
What medical treatment did you receive?
How did you feel emotionally during this time?
How did menopause effect your relationship with your husband?
How did menopause effect your relationship with your kids?
How did menopause effect your work?
What did your loved ones do right during this time?
What did your loved ones do wrong towards you concerning menopause during this time?
What could your loved ones have done better to support you?
What outlook do you have on life after menopause?
What are the positive changes in your life after menopause?
What advice do you have for women about to go through menopause?
Are there any resources you would recommend for women concerning menopause?
Do you have any advice for husbands of menopausal women?
Do you have any advice for the children of menopausal women?
Have you had a hysterectomy? Can you tell me your age, procedure done, results, emotions, medical treatment after. Any details would be great!
  

I may add items to this survey as I think of them.  Please feel free to email me with info you think is important that I might of left out!
Sheri

sheri@yourmenopausestory.com


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I AM NOT AN EXPERT.  PLEASE TALK TO A DOCTOR FOR DIAGNOSIS AND MEDICAL ADVICE.  I CAN GIVE YOU MY OPINION, BUT THAT IS ALL IT IS :)