Pauline Houle PMS and Women








		PMS and Women

		PMS and Men

PMS and Women

This survey invites every woman to share her menstrual realities. In filling in this survey, your identity is not connected to the questionnaire nor the results of this research. Your answers will help me continue researching PMS and its relationship with our Subconscious.

1) Your age

2) Age of your first menstrual cycle?

3) Select all the symptoms that you feel and have felt, even if you answered that you had no menstrual cycles.

Group A: Nervous tension
Mood swings
Irritability
Anxiety
Insomnia

Group B: Cravings
Headaches
Cravings for sweet foods
Cravings for carbohydrates
Increased appetite
Heart palpitations
Dizziness
Loss of consciousness
Fatigue

Group C: Depression
Diffused emotions
Forgetfulness
Lack of concentration
Fears
Confusion

Group D: Hyperhydratation (water retention)
Weight gain
Bloating
Swelling of extremities
Abdominal swelling
Liquid retention

Group E: Physical sensitiveness
Breast tenderness
Painful ovulation
Muscular tension
Muscular cramps
Abdominal cramps
Others:
Please describe:

Group F: Compensatory behaviours
Shopping
Compulsive buying
Need for beauty care
The feeling of looking for a fight
Need to clean up
Others
Please describe:

4) If you have no symptoms, why do you think that is?

5) Have some events influenced your menstrual cycles in the past?

6) Do you believe that you have menstrual problems?
Yes
No

7) Relating to your symptoms, did you feel the need to consult any specialists?
Yes
No

8) If yes, what type of help did you seek?
Medical
Psychological
Alternative medicines
All of them

9) Did you consult a physician for these symptoms?
Yes
No

10) If you consulted a physician, were you given medication?
Yes
No

11) If you were given any medication, did that help you?
Yes
No

12) Select all the symptoms that are the most frequent before or during your menstruation?
Nervous tension
Compensatory behaviours
Cravings for food
Hyperhydratation (bloating)
Depression
Physical pains

13) If you consulted other specialists, who did you consult?
Psychologist
Social worker
Psychiatrist
Psychotherapist
Acupuncture
Chiropractor
Homeopath
Osteopath
Naturopath
Massage therapy
Other

14) If you saw a therapist, what type(s) of psychotherapy approach did you choose?
Gestalt
Neurolinguistic programming
Hypnosis
Directive psychotherapy approach
Nondirective psychotherapy approach
Body-mind approach
Humanist approach
Transactional Analysis
Psycho synthesis
Others

15) If you consulted with a therapist, did it help you?
Yes
No

16) If you did see a therapist, did the therapy approach help you to consider the possibility that your PMS might be psychosomatic?
Yes
No

17) After having consulted in therapy, did you notice a difference in your PMS?
Yes
No

18) Do you believe that menstrual reality is linked to
Emotional fatigue
Physical fatigue

19) Do you believe that PMS is of a
Physical nature
Psychological nature
Both

20) When it comes to my menstrual cycle
I view it as normal
I would prefer not to have it
I find it dirty
I'm in hurry to finish it
I find it okay and normal
I consider it a real punishment
I want to be alone during my period
I fear the sexual advances of my partner while I am menstruating
I'm happy when it happens
I feel perfect in feminine condition

21) What is your method of contraception?

22) Are you using oral contraceptives?
Yes
No

23) If you take or have taken oral contraceptives, did that help your menses or PMS?
Yes
Yes, but only for a while
No

24) If you had relief, how long did the relief last?
Temporarily
Mid term
Long term

25) I feel free to have sex with my partner when I am menstruating
Yes
No

We thank you kindly for taking the time to participate in this survey and we wish you all the success you so desire.