Questionnaire

Recommended Experience

Opening screen: “Where are you on your menopause journey? 🌸”

Menopause isn’t a single moment. It’s a transition — and it can look very different from woman to woman. Answer a few questions about your periods, symptoms and health history, and we’ll help you understand the stage you may be in.

Estimated time: 3–5 minutes • Core questions: approximately 20, with branching

Questionnaire

Section 1 — About You

Q1. How old are you?

Under 40
40–44
45–49
50–54
55–59
60+

Developer / clinical note: Age provides context but should not determine stage by itself.

Q2. Are you currently having periods?

Yes, fairly regularly
Yes, but they have become irregular
Occasionally — I sometimes go months without one
No, but it has been less than 12 months
No, and it has been 12 months or more
No — I had surgery/treatment that stopped my periods
I’m not sure

Developer / clinical note: This is the primary branching question.

Section 2 — Your Period Story

Q3. Compared with 1–2 years ago, what has happened to your cycle?

It hasn’t really changed
My cycles have become shorter
My cycles have become longer
They vary a lot from month to month
I sometimes skip a period
I sometimes go 2+ months without a period
I’m not sure

Q4. How predictable are your periods now?

Very predictable
Mostly predictable
Somewhat unpredictable
Very unpredictable
Not predictable at all

Developer / clinical note: Recommended UI: 5-point slider.

Q5. Have you noticed any changes in your bleeding? Select all that apply.

Heavier periods
Lighter periods
Longer periods
Shorter periods
Spotting between periods
More clots
More painful periods
No significant change
Not sure

Q6. What is the longest you’ve gone without a period in the last 12 months?

Less than 30 days
30–59 days
60–89 days
90–179 days
180–364 days
12 months or more
I’m not sure

Developer / clinical note: High-value staging question.

Section 3 — If Your Periods Have Stopped

Q7. When was your last natural period?

Less than 3 months ago
3–5 months ago
6–11 months ago
12–23 months ago
2–5 years ago
More than 5 years ago
I don’t remember

Q8. Have you had 12 consecutive months without a period?

Yes
No
I’m not sure

Developer / clinical note: For natural menopause, 12 consecutive months without a period is the conventional clinical threshold, provided there is no other explanation.

Section 4 — Your Symptoms

Prompt: “Your periods tell us a lot. Your symptoms tell us another part of the story. Over the last 6 months, which of these have you experienced?”

Hot & sweaty: hot flashes; night sweats; feeling unusually hot; sudden chills after feeling hot.
Sleep: difficulty falling asleep; waking during the night; waking too early; waking unrefreshed.
Brain & mood: brain fog; forgetfulness; difficulty concentrating; irritability; mood swings; anxiety; feeling unusually low; feeling overwhelmed.
Body: joint pain/stiffness; muscle aches; fatigue; headaches/migraines; changes in weight/body composition; reduced strength; feeling less physically resilient.
Sexual & vaginal health: vaginal dryness; vaginal discomfort; pain during sex; reduced libido; urinary urgency/frequency; recurrent urinary symptoms.
Skin & hair: dry/itchy skin; acne; changes in skin texture; hair thinning; increased facial hair.
Other: palpitations; changes in digestion; breast tenderness; changes in body odour; none of these.

Section 5 — Impact on Everyday Life

Q9. How much are these changes affecting your everyday life?

0 — Not at all
1–2 — Very little
3–4 — Mild
5–6 — Moderate
7–8 — Significant
9–10 — A great deal

Developer / clinical note: Recommended UI: 0–10 slider.

Q10. Which areas of your life are being affected most? Select up to 3.

Sleep
Work/career
Relationships
Sex/intimacy
Exercise/fitness
Confidence/body image
Mood/emotional wellbeing
Concentration/productivity
Social life
None significantly

Section 6 — Important Context

Q11. Are you currently using hormonal contraception?

Combined pill/patch/ring
Progestogen-only contraception
Hormonal IUD
Implant/injection
No
Not sure

Developer / clinical note: Branching question; hormonal contraception can make menstrual patterns harder to interpret.

Q12. Have you had a hysterectomy?

No
Yes, uterus removed but ovaries retained
Yes, uterus and ovaries removed
I’m not sure

Q13. Have you experienced menopause because of medical treatment?

Chemotherapy/radiotherapy
Surgery involving the ovaries
Medication that affects ovarian function
No
I’m not sure

Section 7 — Safety & Clinical Review

Q14. Have any of these changed recently?

My periods have suddenly become extremely heavy
I have bleeding between periods
I bleed after sex
I have bleeding after 12+ months without periods
I have severe pelvic pain
My symptoms appeared very suddenly or feel unusual for me
None of these

Developer / clinical note: Any selected red-flag response should trigger appropriate clinical guidance rather than a simple stage result.

3. Optional Questions for a Richer Bloom Profile

These are not required for stage classification, but can make the result more useful and personalised.

Q15. Which symptom would you most like help with right now?

Sleep
Hot flashes/night sweats
Mood/anxiety
Brain fog
Weight/body composition
Strength/fitness
Joint or muscle pain
Sexual/vaginal health
Skin/hair
Something else

Q16. What would you most like to understand better?

What stage I’m in
What is happening to my body
What I can do about my symptoms
What to discuss with my doctor
How menopause may affect work and relationships

4. Stage Classification Logic

The stage should be determined primarily from menstrual pattern and timing, with symptoms used as supporting information rather than as the sole basis for staging. This is designed to align conceptually with recognised menopause staging approaches while remaining an educational self-assessment.

Likely Stage	Core Pattern	Supporting Indicators	Suggested Confidence
Pre-menopause	Periods broadly regular; no significant new cycle change	Few/no new menopause-associated symptoms	High when cycle is clearly regular
Early Perimenopause	Persistent change/variability in cycle pattern	Cycle length changes; new symptoms may be present	High if menstrual change is clear
Late Perimenopause	Increasingly unpredictable periods; gaps of ~60+ days	Increasing symptom burden may be present	High if prolonged gaps are reported
Menopause	12+ consecutive months without a period, where natural menopause is appropriate	Symptoms may persist or fluctuate	High if timing is clear and no confounders
Early Postmenopause	12 months to several years after final period	Symptoms may continue; focus shifts toward long-term health	High if final period timing is known
Later Postmenopause	Several years after final period	Long-term health, muscle/bone, cardiovascular, sexual and wellbeing considerations	Moderate–High
Stage Unclear	Conflicting or insufficient information	Hormonal contraception, hysterectomy, treatment-induced menopause, uncertain dates	Low

5. Recommended Result Architecture

Do not end the experience with only “You are in Perimenopause.” The Bloom can create a three-dimensional result:

1. WHERE AM I?
Menopause stage + confidence

2. HOW AM I DOING?
Symptom impact: Low / Moderate / High / Very High

3. WHAT DO I NEED?
Personalised Bloom pathway with 3–5 relevant support areas

6. Example Result Page

🌸 YOUR BLOOM PROFILE

You may be in: LATE PERIMENOPAUSE

Confidence: High

Your answers suggest that your cycle has become highly irregular, with longer gaps between periods. You have also reported changes in sleep, brain fog and hot flashes.

Your biggest areas of impact:

1. Sleep
2. Mood & brain fog
3. Hot flashes

What this stage can feel like:

Your cycle pattern suggests that you may be getting closer to your final menstrual period. This stage can feel particularly unpredictable. Symptoms may become more noticeable, but every woman’s experience is different.

Your Bloom Pathway:

Understand your changing hormones
Sleep & night sweats
Strength & muscle health
Managing brain fog
Sexual & vaginal health
Talk to an expert

7. Alternative Result — Stage Unclear

🌼 WE’RE NOT QUITE SURE YET — AND THAT’S OKAY.

Your answers don’t give us enough information to confidently place you into one stage. This can happen if you’re using hormonal contraception, have had a hysterectomy, have recently stopped hormonal treatment, or your symptoms don’t match your menstrual pattern.

A healthcare professional can help you work this out.

8. Clinical & Product Safeguards

Position the tool as an educational self-assessment, not a diagnostic test.
Do not use age alone to classify menopause stage.
Use menstrual history as the primary staging input wherever it is clinically interpretable.
Keep symptom burden separate from menopause stage. A woman can have low symptoms in late perimenopause or high symptoms in early perimenopause.
Branch around hormonal contraception, hysterectomy and treatment-induced menopause.
Include a clear route to healthcare-professional support for abnormal bleeding or other concerning symptoms.
Have the final questionnaire and scoring logic reviewed by a qualified menopause clinician before launch.

9. Suggested Website Disclaimer

IMPORTANT: This questionnaire is designed to help you understand patterns commonly associated with the menopause transition. It is not a medical diagnosis and cannot confirm or rule out menopause or other health conditions. If you have unusual, severe or concerning symptoms, or if you are unsure about your results, please speak with a qualified healthcare professional.

10. Development Notes

Recommended format: adaptive questionnaire; most users should see approximately 15–20 questions.
Use single-select for staging questions and multi-select for symptom/impact questions.
Show a progress bar, but avoid displaying a score while the user is answering.
Allow users to save or email their Bloom Profile if the product roadmap supports this.
Consider a future symptom tracker so users can repeat the assessment and see changes over time.
Keep the tone warm, non-judgemental and conversational; avoid language that makes menopause sound like a disease.

11. Reference Frameworks for Clinical Review

The questionnaire concept draws on recognised menopause staging and symptom-assessment principles, including STRAW+10 staging concepts and clinical guidance from NICE/ACOG. The final instrument should be clinically reviewed before deployment.

Harlow SD et al. Executive Summary of STRAW+10: Addressing the Unfinished Agenda of Staging Reproductive Aging. Menopause. 2012.
NICE. Menopause: diagnosis and management (NG23).
NICE. Quality Standard: Menopause (QS143).
ACOG. Menopause Symptom Tracker / menopause-related patient guidance.
Miyara Health — product experience reference for broad symptom assessment and personalised insights.