Menopause Questionnaires – Fair Oaks Women’s Health

Questionnaires are useful tools to help people grade or score how they are feeling. The number can help determine severity and the quiz can be repeated over time to see how the number is changing.

Here are some questionnaires that are specific to menopausal changes such as menopause symptoms, anxiety, depression, sleep and sexual health. Feel free to download, print and take any quiz that seems useful to you.

If your score is high, please consider booking a Visit or Telehealth with Dr. Jick or any of the ob/gyn specialists here at Fair Oaks Women’s Health.

Menopause Symptoms Questionnaire

The Greene Climacteric Scale is a well- known questionnaire for helping to determine the severity of menopausal symptoms.

The Greene Scale scores 21 symptoms that are often associated with menopause, including ones you might not know, such as those that affect the hands and feet. It’s also great for tracking changes in how you feel.

The first eleven questions look at psychological symptoms – the ways that menopause can affect the brain and how you feel. The next seven questions are part of the somatic scale, or the symptoms that affect the body physically. The final questions are about vasomotor symptoms, such as hot flashes and night sweats.

Click here for the Greene Climacteric Scale

Anxiety Questions

The GAD-7 is a 7-item anxiety scale initially developed to diagnose generalized anxiety disorder (hence its name, the GAD-7). This quiz has also proved to be useful as a screener for panic disorder, social anxiety, and post-traumatic stress disorder.

The score can range from 0 to 21. Scores above 5, 10, or 15 represent mild, moderate, or severe anxiety, respectively. This quiz cannot make a medical diagnosis, but if you score 15 or higher, medical attention might be worthwhile.

Depression Questions

The PHQ-9 is a 9-item scale (PHQ – Patient Health Questionnaire) for screening for depression. The PHQ-9 can be useful for assessing and monitoring depression severity.

The score can range from 0 to 27. Scores above 5, 10, or 15 represent mild, moderate, or severe depression, respectively. This quiz cannot make a medical diagnosis, but if you score 15 or higher, medical attention might be worthwhile.

Sexual Health Questionnaire

The Female Sexual Function Index (FSFI)

The FSFI is a 19-item survey measuring the sexual functioning of women in six different categories: desire, arousal, lubrication, orgasm, satisfaction and pain. The index only measures sexual function in these domains over the previous 30 days.

This quiz might take a few minutes. A scoring sheet is provided.

CLICK HERE FOR AN ONLINE VERSION

Decreased Libido (HSDD) Questionnaire

Decreased libido can be caused by many different conditions. One type of condition is called HSDD (Hypoactive Sexual Desire Disorder).

The Decreased Sexual Desire Screener (DSDS) is designed to assist in the identification of premenopausal patients who may suffer from acquired, generalized Hypoactive Sexual Desire Disorder.

This questionnaire can be helpful in determining if HSDD might be the cause of decreased libido. There are many effective treatments for HSDD.

Sleep Quality Questionnaire

The PROMIS Sleep Disturbance instrument (short form) assesses self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. This includes difficulties and concerns with getting to sleep or staying asleep, as well as adequacy of and satisfaction with sleep.

Sleep Disturbance does not focus on specific sleep disorders and does not provide estimates of sleep hours. The Sleep Disturbance form assesses sleep disturbance over the past seven days.

There are 8 questions; each has a “raw” score from 1 to 5. The total raw score ranges from 8 to 40. Scoring requires using the table on the right to look up the “T-score” corresponding to the raw score. Try to answer every question.

The T-scores are interpreted as follows:

  • 70 and over = Severe
  • 55.0—59.9 = Mild
  • 60.0—69.9 = Moderate

36 Questions for Intimacy

Not exactly a menopause questionnaire, this list of 36 questions for intimacy is useful and fascinating.

It’s based on a study by the psychologist Arthur Aron (and others) that explores whether intimacy between two strangers can be accelerated by having them ask each other a specific series of personal questions.

The 36 questions in the study are broken up into three sets, with each set intended to be more probing than the previous one. The idea is that mutual vulnerability fosters closeness. To quote the study’s authors, “One key pattern associated with the development of a close relationship among peers is sustained, escalating, reciprocal, personal self-disclosure.”

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