An Online Questionnaire

Female Questionnaire

1) How Old Are You? years

2) Would you describe yourself as…

White   Black Carribean   Black African   Black UK   Indian/Pakistani/Bangladeshi
Other Asian/Oriental   Other (please specify...)

3) What is your status?

Married   Single   Co-habiting   In a Civil Partnership   Divorced   Widowed

4) What is your main occupation?    Other:

5) What is your nationality?

6) What is your sexuality?

Heterosexual   Lesbian   Bisexual   Other (please specify...)

7) At what age did you have your first period? years months

Is this: Fairly Accurate   Approximate Only

8) At what approximate age was your mother's first period, if known?

years or Unknown

Before the age of your first period

9) Please state your main country of residence before you started your period

10) What is the total number of nights you have spent in hospital before your first period (not counting at birth)?

None   less than 5   5 to 10   11 to 20   21 to 30   more than 30

11) How many days per year do you think you spent off school due to genuine illness prior to starting your first period?

None   1 to 5   6 to 10   11 to 20   21 to 30   more than 30

12) Did you ever suffer any childhood illnesses before starting your first period?

Mumps   Measles   Chicken pox   Whooping Cough   Pneumonia

Other major illnesses (please specify...)

13) Just prior to starting your first period did you consider yourself to be

Overweight   Underweight   Average

14) For most of the years before your first period what was;

a. Your mother's main occupation    Other:
b. Your father's main occupation    Other:
c. If your mother or father were not your main carer, what was your carer's occupation    Other:

15) Around the time before your first period were you….

Living with both parents   Living only with your mother   Living only with your father
Living with a guardian/grandparent   Living with your mother and stepfather
Living with your father and stepmother   Other (please specify...)  

16) Around the time before you started your first period was your biological father alive?

Yes   No

If yes....

At home every night   Away 1-2 nights per week   Away 4-5 nights per week
Regularly away for a week or more   Away for periods of a month or more   Never at home

17) Around the time of your adolescence were your parents divorced/separated/widowed?

Yes   No   Unknown

After your first period - Time at school

18) While at school which best describes your experience of being involved in physical fighting?

Never   Less than one a year   Around one a year   Around one a month
Around one a week   Almost every day

19) Were you ever bullied at school?

Never   Occasionally   Regularly

20) Did you ever bully others at school?

Never   Occasionally   Regularly

21) What was your most common reaction when you were unhappy or upset?

Physical fighting/attacking   Ignoring people/staying in your room
Aggressive shouting/swearing/arguing/slamming doors   Moodiness/crying

22) After your first period,, on average how many days per year do you think you spent off school due to genuine illness ?

None   1-5   6 to 10   11 to 20   21 to 30   >30

A few more general questions

23) At what age had you started to feel sexually attracted to boys or girls? (Age)

10 or less   11   12   13   14   15   16+

24) At what age did you first masturbate? (Age)

Never   10 or less   11   12   13   14   15   16+   Don't Know

25) How old were you when you first had sex? (if applicable)

years or Never

26) Did you first have sex when drunk or under the influence of illegal drugs?

Yes   No   Not Applicable

27) How old were you when you first had sex without using any contraception?

years or Never

28) How many times have you used emergency contraception (e.g. the morning after pill)?

Never   1 to 2   3 to 5   6 to 10   >10

29) Approximately how many sexual partners have you had in your lifetime?

None   1   2 to 5   6 to 10   11 to 20   21 to 30   31 to 50   >50

30) At what age were you first pregnant?

years or Never

31) Have you ever chosen to have an abortion?

Yes   No   Not Applicable

If yes, how many times?

1 More than 1 Not Applicable

32) How old were you when you first drank alcohol?

years or Never

33) How old were you when first got drunk?

years or Never

34) How old were you when you first smoked a cigarette?

years or Never

How many cigarettes have you smoked in the last 30 days?

Do not smoke   None   Less than 40   40 to 200   Over 200

35) Have you ever tried an illegal drug (including cannabis)?

Yes   No

If Yes... how old were you when you first tried an illegal drug?

36) How many sexual partners have you had in the last 12 months?

None   1   2 to 5   6 to 10   More than 10

37) How many times have you been drunk in the last 30 days?

None   1 to 5 times   6 to 10 times   11 to 20 times   More than 20 times

38) How many physical fights have you been involved in in the last 12 months?

None   1   2 to 5   6 to 10   More than 10

Thank Your For Participating. Please click the SUBMIT button below to complete the questionnaire.

NWPHO / CPH