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Period Pain and Impact Screening

This survey is designed to assess the severity of your period pain and its impact on your daily life. The results will help us better understand your symptoms and provide insights for managing them effectively. Your responses are confidential and will only be used for assessment purposes. Please answer each question as honestly as possible to ensure accurate results.

1 / 5

Over the last six months, have you had regular severe period pain?

2 / 5

Over the last six months, have you had significant interference to your usual daily activities because of your period?

3 / 5

Over the last six months, have you experienced bowel or bladder pain?

4 / 5

Over the last six months, have you regularly missed school or work because of your period?

5 / 5

Over the last six months, have you felt sure there is something wrong with your periods?

Your score is