Researchers’ Modified Social Adjustment Scale- Self Report (SAS-SR) by Myrna

M. Weissman and Eugene S. Paykel; Patterned from Kirk and Sommer; Rocha;
Brooks-Gunn and Ruble

This is a questionnaire that measures your social adjustment. We are interested in

finding out how you have been doing since the start of your menstruation. We would like
you to answer some questions about how you’ve been adjusting to school, family life,
and friends. There are no right or wrong answers to these questions. Check the answer
that best applies to you.

1 = Never
2 = Occasionally
3 = About half the time
4 = Most of the time
5 = Always

1 2 3 4 5

1. I have been absent from school because of

menstrual related problems.
2. I have been able to keep up with my school work
during my menstruation.
3. I am ashamed of how I perform in school whenever
I am menstruating.
4. I had arguments with people when I am
menstruating.
5. I am upset during my menstruation.

6. I have been able to talk about my feelings and

problems with at least one friend when I am
menstruating.
7. I have gone out socially with other people since my
last menstruation.
8. If my feelings were hurt or offended by my friends
during my menstruation, I am easily able to get over
it.
9. I feel shy or uncomfortable with people during my
menstruation.
10. I feel lonely and wished for more friends during
menstruation.
11. I depend on my relatives for help, advice or
friendship since the onset of my menstruation.
12. I talk about my menstruation to others.

13. I find it difficult to buy sanitary napkins in public

 places.
14. I have perceived myself negatively since the onset
of my menstruation.
15. My self-confidence decreased since the onset of my
menstruation.
16. My classroom and /or sports participation declined
during my menstruation.
17. I have been more interested in romantic
relationships since the onset of my menarche.
18. I have expected extra considerations from my family
when I am menstruating.
19. I used different slang terms when talking about
menstruation related topics with others.
20. I find menstruation an embarrassing social
experience.