*1.What is your age?(Required.)

Under 18

Over 18

2.What age were you diagnosed?

3.How long did it take to get diagnosed?

4.How did you get diagnosed? (Ultrasound, CT scan, laparoscopy…)

5.Did your doctor take your diagnosis seriously and explain to you exactly what endometriosis is?

Yes

No

6.What options were given to you? (Birth control, implant…)

7.Did you accept any of these options? If so which one?

8.Did your chosen option help? If so, how?

9.Did you have any negative side effects? If so, which ones?

10.What are your symptoms of endometriosis? Please list all of them

11.Has endometriosis affected your mental health? If so, how?

12.Did doctors put you on medication for mental health? If so, which ones?

13.At what age did you start menstruating?

14.Were your periods always painful or did they gradually get worse over time?

15.Are your periods regular?

Yes

No

16.Do you know of any triggers which make your period worse or cause endo flare ups? (Food, drinks, exercise, stress…)

17.Do you know of any remedies which are not medical (pill, implant, painkillers…) which have helped? For example yoga, breathing, stretching etc

18.Is there any support around where you live?

Yes

No

19.How has endo affected your professional and private life?

20.Were you ever not taken seriously or dismissed by a doctor regarding your symptoms? If so, what happened and how did you react?

21.Last but not least - would you like to tell me more about your endometriosis journey?