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Male partner questionnaire on menopause


This survey is for men with partners going through, or have been through the menopause.

Please try and complete all the questions below.

About you and your partner
How did you find out about this questionnaire?
Internet Search
Magazine
Health care professional
Through partner
Word of mouth
What is your age?
Under 30
31-40
41-50
51-60
Over 60
How long have you been with your current partner?
Less than 1 year
1-5 years
5-10 years
+10 years
Is your partner going through/ has your partner gone through menopause?
Yes     No     Unsure
If Yes to the above, at what age?
Under 30
31-40
41-50
51-60
Over 60
What is the highest level of education you have obtained?
Primary     Secondary     Tertiary
Where are you from?
Have you any long term medical conditions yourself?
Yes     No     Unsure
How did you first find out about the menopause?
Has menopause affected the relationship with your partner?
Yes     No     Unsure
If Yes to the above, what / how has it affected your partner?

PHYSICALLY

Reduced intercourse
Hot flushes
Reduced sleep
Joint pain/ reduced exercise tolerance

EMOTIONALLY

Mood swings
Low mood/ anxiety
How has your partner's menopause affected you?

PHYSICALLY

Reduced intercourse
Reduced sleep
Reduced exercise tolerance

EMOTIONALLY

Annoyance
Low mood
Anxiety
Embarrassment
How you may be affected socially
Do you feel there is any stigma towards menopause?
Yes     No     Unsure
Would you feel embarrassed about talking about menopause with:
Your partner
A family member
A colleague
Someone you just met
Do you think your partner worries/ worried about menopausal symptoms?
Yes     No     Unsure

Do you think you partner is/was affected negatively in a social situation with the menopause?
Yes     No     Unsure

Do you think the menopause has affected/affects your partner's quality of life in a negative way?
Yes     No     Unsure

Do menopausal symptoms ever cause arguments between you and your partner?
Yes     No     Unsure
Is the menopause a subject that you would talk about openly with your partner?
Yes     No     Unsure
Your knowledge of the menopause
Do you think the following statements are true/false/Unsure?
Menopause is an illness
Yes     No     Unsure
Menopause is a sign of aging
Yes     No     Unsure
Menopause is an natural part of a woman's life
Yes     No     Unsure
Menopause symptoms last for the rest of a woman's life
Yes     No     Unsure
Menopause symptoms last on average around 5 years
Yes     No     Unsure
Menopause reduces life expectancy for women
Yes     No     Unsure
What do you think is the best treatment for menopause? You can select more than one option
Hormone replacement
Natural remedies
Cognitive behavioural therapy
Reduce alcohol intake
Stop smoking
Increased Exercise
Alternative therapies e.g. acupuncture or homeopathy
Emotional support
If your partner is through the menopause
In retrospect do you feel you knew enough about the menopause to support your partner?
Yes     No     Unsure

How would you like to obtain this advice?
Leaflets / Books
Internet Page
Magazine
Health care professional
Through partner
Word of mouth
Adverts on this website are not endorsed by Menopause Matters
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Page last updated: 14 June 2018

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