THIS QUESTIONNAIRE HAS ENDED

Background
Before answering this questionnaire, you must have watched the Vaginal Dryness Movie » here.
Thank you for your help!

The Questionnaire

1.	Age group	Under 30 31-40 41-50 51-60 Over 60

2.	Menopausal status - If you have had a hysterectomy and so are not having periods, please tick the menopausal status box which you feel best represents your status. If ovaries have been removed, then you are postmenopausal, if ovaries are still present, you can be pre, peri or postmenopausal.	premenopausal - regular periods (if you still have a uterus) and no menopausal symptoms. perimenopausal - at least 1 period in last 12 months but period pattern changing (if you still have a uterus) and/or some menopausal symptoms postmenopausal - no period for at least 12 months (if you still have a uterus)

3.	Where do you live?

4.	Is sex painful because of vaginal dryness?	Yes No

5.	Did you know vaginal dryness could be treated?	Yes No

6.	Has your relationship been affected because of painful sex?	Yes No

7.	If you have sought help for painful sex from a health professional, were you:	Prescribed treatment Not prescribed treatment

8.	If you have not sought help for painful sex from a health professional - why not?	too embarrassed I didn't want to bother the health professional Other reason- please state:

9.	Having watched the video would you now discuss with your doctor?	Yes No

10	Would you be willing to try treatment?:	Yes No
Did the video clip...
11.	...make you better informed of vaginal dryness?	Yes No Not sure

12.	...make you feel more confident to discuss with your Health Care Professional?	Yes No Not sure

13.	...make you feel confident that treatment is available?	Yes No Not sure

14.	...give you increased optimism and control that you can do something about vaginal dryness?	Yes No Not sure
15.	...make you feel that you are not alone with this condition?	Yes No Not sure
16.	...make you feel better about yourself?	Yes No Not sure
And finally -
17.	Overall, how useful was the clip to you?	Useful Not useful Not sure
18.	How easy was the clip to understand?	Easy Not easy Not sure
19.	How does learning from a video clip compare to written information?	Better Same Worse
20.	Any other comments?

Questionnaire began 28 October 2008
Page last updated: 2 March 2009