BBC Research: PMDD and severe PMS

This questionnaire aims to gather the experiences of those who suffer/ed from PMDD (Premenstrual Dysphoric Disorder) or severe PMS (Premenstrual Syndrome).

WARNING: Questions on self harm and suicide are included.  For support or to talk to someone, please follow links at the end of the form. 


 All responses will remain anonymous and kept secure in line with the BBC's Privacy Policy.
 

1. Where do you live in the UK?

Choose from the following:
 

2. If you are a Non-UK resident, where do you live?

Choose from the following:
 

3. How old are you?

Please select your age group
 

4. Have you been diagnosed with severe premenstrual syndrome or PMDD? Please select one of the following options:

 

5. If you have been diagnosed, how many years did you have symptoms before being diagnosed?

Please select the number of years
 

6. To what extent does/did PMDD or severe PMS affect your activity? Please select one or more of the following options:

2+ weeks every month before my period1-2 weeks every month before my periodSeveral days every month before my periodVarious times during my menstrual cycleLess often/Not applicable
Reduced activity
Off work/college
In bed
 

7. To what extent does/did PMDD or severe PMS affect your mood/health? Please select one or more of the following options:

2+ weeks every month before my period1-2 weeks every month before my periodSeveral days every month before my periodVarious times during my menstrual cycleLess often/Not applicable
Fatigue and feeling overwhelmed
Depression and/or anxiety
Anger and/or erratic behaviour
 

8. To what extent has PMDD or severe PMS affected your education and school experience? Please select one of the following options:

 

9. To what extent has PMDD or severe PMS affected your career and work life? Please select one of the following options:

 

10. To what extent has PMDD or severe PMS affected your marriage/partnerships? Please select one of the following options:

 

11. To what extent has PMDD or severe PMS led to suicidal thoughts? Please select one of the following options:

 

12. To what extent has PMDD or severe PMS led to attempted suicide? Please select one of the following options:

 

13. To what extent has PMDD or severe PMS led to self harm?  Please select one of the following options:

 

14. To what extent did/does your local doctor/GP know about PMDD or severe PMS? Please select one or more of the following options:

 
PRIVACY NOTICE: All responses to the survey will remain anonymous as the survey does not ask for any personal data that can identify you directly or indirectly. The BBC will share the information you have provided in the survey with SmartSurvey, the third party provider hosting the survey on our behalf.  For information on how the BBC processes personal data, please go to: http://www.bbc.co.uk/privacy