Menopause Matters: Partner Survey

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

THIS SURVEY IS NOW CLOSED

Male partner questionnaire on menopause