| Question | Answer |
---|---|---|
1 | Have you had menstruation? | 0 = none 1 = light 2 = normal 3 = heavy |
2 | Have you had menstruation pain? | 0 = no menstruation 1 = no pain 2 = mild pain 3 = severe pain |
3 | Have you had sexual intercourse? | 0 = no 1 = yes with steady partner 2 = yes with casual partner |
4 | If yes to question 3, was a condom used? | 0 = no 1 = yes |
5 | Have you felt an urge to have sexual intercourse? | 0 = no 1 = yes |
6 | Have you felt sad for no real reason? | 0 = no 1 = yes |
7 | Did you feel that your partner loves you? | 0 = no 1 = yes 2 = no partner |