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Transition Health Related Issues

LIFE TRANSITIONS IN PERI & POST MENOPAUSAL WOMEN AND IT'S EFFECT ON THEIR OVERALL HEALTH AND LIFE SATISFACTION
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Hello,
I am a student at Concordia College - NY and am conducting a survey for my Senior Capstone Paper. You are invited to participate in my survey on Health Related Issues in Peri Menopausal Women during Mid-Life Transition. Approximately 100 women, between the ages of 40-55 will be asked to complete a survey that asks questions about  health issues, concerns and overall life satisfaction.   It will take approximately 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point, without penalty. If you choose to do so, I urge you to contact me at the email address listed below before doing so.
Your survey responses will be kept strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential and anonymous. The benefit of this research is that you will be helping me and those who read and grade my final paper and presentation, to understand female life satisfaction as it relates to health issues and where it originates from.

Please answer the following questions by selecting the answer that best describes your situation. I encourage you to leave personal comments for any questions.  If you have questions at any time about the survey or or the procedures, you may contact Lisa Ganzi at [email protected].

THIS SURVEY HAS BEEN APPROVED FOR DISTRIBUTION BY THE IRRB of CONCORDIA COLLEGE - NY (Review Board).

Thank you very much for your time and support.

Please check the "I AGREE" Terms and Acceptance Checkbox, indicating that you have read and accept the above terms, are participating on your own free will and that no compensation is being given, then click the Continue button to start the survey.

 
 
 
 
* 1. What is your age?
 
40-44
 
45-50
 
51-55
 
 
 
* 2. Are you Male or Female? (The Dean said this was mandatory!)
 
Male
 
Female
 
 
 
* 3. What is your race?
 
Black
 
White
 
Hispanic
 
Native American
 
Asian
 
Other
 
 
 
4. What is your highest level of education?
 
GED
 
H.S. Diploma
 
Some College
 
Bachelors Degree
 
Graduate School
 
 
 
* 5. Are you a mother?
 
Yes
 
No
 
If no, skip the next question.
 
 
 
6. How many children do you have?
 
1
 
2
 
3 or more
 
 
 
7. If you have children, are you an "empty-nester"?
 
Yes
 
No
 
 
 
* 8. Are you married, single or divorced?
 
Married
 
Single
 
Divorced
 
 
 
* 9. What would you say your overall health condition is?
 
Excellent
 
Very good
 
Not very healthy
 
I have serious health issues
 
 
 
10. If you have health problems, do they prevent you from enjoying life to the fullest?
 
Always
 
most of the time
 
rarely
 
never
 
 
 
* 11. What is your level of exercise?
 
Daily
 
3x per week
 
occasionally
 
rarely
 
never
 
 
 
12. Are you satisfied with your current body weight?
 
very satisfied
 
mostly satisfied
 
somewhat satisfied
 
not at all satisfied
 
 
 
* 13. Has your weight been on a steady increase by:
 
2 lbs. per year
 
5 lbs. per year
 
More than 10 lbs in the past two years?
 
No change in weight
 
Lost weight
 
 
 
14. Are you more than 20 lbs. overweight?
 
Yes
 
No
 
Don't know
 
 
 
* 15. Do you consider yourself to be a healthy eater, meaning, are you consciously aware of what you eat to nourish your body and keep yourself at a healthy weight? 
 
always
 
most of the time
 
sometimes
 
rarely
 
never
 
 
 
* 16. How concerned are you about the increase of health related issues such as heart disease and diabetes as it relates to weight increase?
 
very concerned
 
somewhat concerned
 
no very concerned
 
no concern at all
 
 
 
* 17. Do you suffer from depression?
 
Sometimes
 
Always
 
Rarely
 
Never
 
 
 
* 18. Do you get a satisfactory amount of sleep to keep you energized and productive during the day?
 
Always
 
Most of the time
 
Sometimes
 
Rarely
 
Never
 
 
 
* 19. Are you experiencing more stress during this transitional phase of life than before?
 
A lot more stress
 
Somewhat more stress
 
No change in stress level
 
I do not experience a significant amount of stress to warrant the question
 
 
 
20. Do you experience restlessness or have trouble relaxing?
 
Sometimes
 
Always
 
Rarely
 
Never
 
 
 
* 21. Do you experience hot flashes and/or night sweats?
 
occasionally
 
frequently
 
rarely
 
all the time
 
Never
 
 
 
* 22. Do you experience unexplained mood swings? 
 
sometimes
 
always
 
rarely
 
never
 
 
 
* 23. Do you experience a decrease in Cognitive functioning, such as memory loss?
 
Somewhat
 
Most of the time
 
Always
 
Never
 
 
 
* 24. Do you feel that therapy, such as Existential or Cognitive therapies, would help in coping with psychological changes through this period?
 
definitely
 
somewhat
 
maybe
 
not at all
 
 
 
* 25. Would you or have you considered using HRT's - Hormone Replacement Therapies to alleviate menopausal symptoms?
 
yes
 
no
 
maybe
 
not at all
 
I am currently using HRT's for relief of menopausal symptoms.
 
 
 
* 26. Please rate the importance of a healthy sex life.
 
Very important
 
somewhat important
 
somewhat unimportant
 
not important at all
 
 
 
27. If you are married or cohabiting  with a significant other, how important do you think an active sex life is to them?
 
Somewhat important
 
significantly important
 
somewhat unimportant
 
not important at all
 
not applicable
 
 
 
28. Do you have good self-esteem about your attractiveness?
 
Somewhat
 
Always
 
Rarely
 
Never
 
 
 
* 29. Do you think psychosocial variables, such as marital status, work satisfaction, life events and everyday hassles effect your well-being?
 
definitely
 
somewhat
 
very little
 
not at all