Question | Answer | |
1 | Have you had menstruation? | 0=none 1=light 2=normal 3=heavy |
2 | Have you had menstruation pain? | 0=none 1=mild pain 2=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=none 1=mild 2=severe |
7 | Did you feel that your partner loves you? | 0=no 1=yes 2=no partner |