The Mysteries of Menopause Study: Join the Research The Mysteries of Menopause Study: Intake QuestionnaireWelcome, and thank you for being part of this small research project.The questions below help me understand where you are with menopause, what you're hoping for, and which practices might suit you best. Please answer as honestly as you feel comfortable. Nothing you write will be shared in any identifiable way; anything quoted in the final document will be anonymised, with no name and no identifying detail.If a question doesn't feel right or you'd rather not answer, just leave it blank. Required questions are marked with a small *.With warmth,Melanie A little about youYour name *Used only by me; will not appear in the document.Email *For sending you Zoom links and the practice menu.Which session works for you? * Wednesday 29 April, 7.30pm (evening cohort) Thursday 30 April, 2pm (afternoon cohort) Either works for meAge range * Under 45 45 to 50 51 to 55 56 to 60 61 to 65 66 to 70 Over 70Where would you describe yourself as being on the menopause journey? * Pre-menopausal (still cycling regularly, no noticeable changes) Perimenopausal (cycle changing, symptoms starting) Menopausal (in the thick of it, periods stopped or near-stopped within last 2 years) Post-menopausal, recent (2 to 5 years since last period) Post-menopausal, settled (more than 5 years since last period) Surgical or medical menopause Not sure or prefer not to sayAre you currently using HRT or other hormonal medication? *No judgement either way; it just helps me understand the picture. Yes No Considering it Prefer not to sayYour symptoms nowFor each of the following, please rate how much it's affecting your daily life right now, on a scale of 0 (not at all) to 10 (significantly).Hot flushes or night sweats0123456789100 — not at all10 — significantlySleep disturbance0123456789100 — not at all10 — significantlyMood swings, irritability, or low mood0123456789100 — not at all10 — significantlyAnxiety0123456789100 — not at all10 — significantlyBrain fog or memory0123456789100 — not at all10 — significantlyEnergy levels0123456789100 — not at all10 — significantlyVaginal dryness or sexual discomfort0123456789100 — not at all10 — significantlyLoss of libido or sexual desire0123456789100 — not at all10 — significantlyJoint aches or physical discomfort0123456789100 — not at all10 — significantlySense of identity, or 'who am I now?'0123456789100 — not at all10 — significantlyAnything else affecting you that isn't on the list above?Optional.Your relationship with this transitionIn one sentence, what's been the hardest part of this transition for you so far?Optional.In one sentence, has anything about it surprised you positively?Optional.What story were you told, implicitly or explicitly, about menopause growing up?Optional. Feel free to skip if it's too big a question.What do you wish you'd known sooner?Optional.Your current practiceDo you currently have any of the following in your life?Tick all that apply. Yoga (any kind) Meditation or mindfulness Breathwork Tantric or somatic practices Regular time in nature A women's circle or similar group Therapy or coaching Bodywork (massage, acupuncture, etc.) None of the above right nowHave you ever attended a Tantric workshop, course, or read books on Tantra? * Yes, quite a bit A little Not really NeverAre you currently in an intimate partnership?No judgement; some of the practices have a partner version and a solo version, and I want to make sure you can use them either way. Yes No It's complicated Prefer not to sayHopes for these two weeksWhat drew you to say yes to this study? *If something genuinely shifted for you over these two weeks, what would that be?There's no wrong answer, even 'I don't know' is useful.Anything I should know — health-wise or otherwise — that affects which practices might suit you?For example, mobility, recent surgery, trauma history, medication, anything you'd want me to factor in. Optional.Logistics and consentPlease read the consent information page before completing this section. It explains how your responses will be used, how data is stored, the WhatsApp group, your right to withdraw, and what this study is and is not. Email me at melanie@conscious-sexuality.co.uk if you have any questions before completing the form.Are you OK with the Zoom sessions being recorded for my own reference only? *Recordings are deleted after the document is submitted, never shared. Yes No Audio onlyAre you happy for anonymised quotes from your responses, journal entries, or session sharings to appear in my final document? * Yes Yes, but please show me the quote first NoAre you happy to be added to a small WhatsApp group with the other women in the study?The group is the main way we'll stay in touch over the two weeks. You'll send three short journal lines a day when you do a practice, see what's landing for the others, and get short prompts and check-ins from me. Your number will be visible to the other women in the group. If you'd rather not be added, you can journal to me privately instead. Yes, add me to the WhatsApp group No, I'd rather journal privately by email No, I'd rather journal privately by text to you only I have read the consent information page and I am happy to take part. * Submit
