BIO-STATISTICS

QUESTIONNAIRE

KUSUM LATA
MBA (HM) [2019-21]
1ST YEAR / 2ND SEMESTER
2019-527-022
SUBMITTED TO: Prof. N Ravichandran
Form no. 01
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: VIBHA

AGE: 26

PHONE NUMBER: 9582283992

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.
10.Which of these product have you heard of?
Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use 
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9
5☐ 10 ☐
17.How many days do you bleed each month?
3

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐
Form no. 02
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: GEETANJALI ADHIKARI

AGE: 22

PHONE NUMBER: 8076909878

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.
10.Which of these product have you heard of?
Tampon
Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
 5 10 ☐

17.How many days do you bleed each month?

3-4 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 
Form no. 03
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: KAYNAT

AGE: 21

PHONE NUMBER: 9354041157

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.
10.Which of these product have you heard of?
Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 ☐
17.How many days do you bleed each month?
2

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 
Form no. 04
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: RUBINA IMTIYAZ

AGE: 23

PHONE NUMBER: 8709486406

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
 Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
 3☐ 8
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

4 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
 No ☐

Form no. 05
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SOUMYA

AGE: 23

PHONE NUMBER: 9660569491

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 
 Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)
 1☐ 6☐
2☐ 7
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

4

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
 25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 06
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: HINA FALAHEE

AGE: 23

PHONE NUMBER: 9599972102

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes ☐
No 
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
 Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 
 Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

5-7

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes ☐
No 
 24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 07
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: IFTISHA

AGE: 23

PHONE NUMBER: 9971931187

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 
 Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

7-10

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
 No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 08
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SHWETA TIWARI

AGE: 23

PHONE NUMBER: 9654247157

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
 No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
 No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 

17.How many days do you bleed each month?

5

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
 Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 09
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: POOJA

AGE: 23

PHONE NUMBER: 7011007781

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
 Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes ☐
No 
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
 Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

2-3

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
 23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 10
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SHREYA

AGE: 21

PHONE NUMBER: 8004894354

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes 
No ☐
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes 
No ☐
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes ☐
No 
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
 Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

7 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
 23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes 
No ☐
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 11
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SEEMA YADAV

AGE: 22

PHONE NUMBER: 7840808656

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
 Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
 No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

5

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
 Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 12
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: PREETI SHARMA

AGE: 32

PHONE NUMBER: 9910067552

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
 No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use 
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes ☐
No 
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

3-4

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
 No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 13
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: ANJALI

AGE: 22

PHONE NUMBER: 8449035438

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes ☐
No 
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
 Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
 21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 14
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: HARMEET KAUR

AGE: 23

PHONE NUMBER: 9891648084

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
 Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
 Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9
5☐ 10 ☐

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
 20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 15
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: KHUSHBU

AGE: 21

PHONE NUMBER: 8445487533

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5 10 ☐

17.How many days do you bleed each month?

3-4

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
 Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 16
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: ROSHNI

AGE: 22

PHONE NUMBER: 9315125119

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9
5☐ 10 ☐

17.How many days do you bleed each month?

4-5

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
 Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 17
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: KASHISH PUNDIR

AGE: 17

PHONE NUMBER: 9205441276

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
 No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes 
No ☐
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

4-5

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
 Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 18
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: MAHETAB

AGE: 21

PHONE NUMBER: 7678576883

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
 No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes 
No ☐
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
 Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 19
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: ADIBA

AGE: 23

PHONE NUMBER: 9897308327

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)
 Disposable Sanitary Pad
12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
 Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 20
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: RASHI

AGE: 24

PHONE NUMBER: 9899977228

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
 Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes 
No ☐
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad
Menstrual cup
Reusable pad that you can wash and use 
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)
 Disposable Sanitary Pad
12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

4

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
 Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 21
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: D. BHARTI

AGE: 30

PHONE NUMBER: 8377054229

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
 Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

6

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never 
 Once or twice ☐
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 22
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: GULASFHA

AGE: 23

PHONE NUMBER: 8826417791

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
 Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
 Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

3-4

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐
 19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 23
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SEHRISH

AGE: 23

PHONE NUMBER: 7006278873

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
 No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
 Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes ☐
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9
5☐ 10 ☐

17.How many days do you bleed each month?

4

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
 Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 24
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: ALKA

AGE: 22

PHONE NUMBER: 9205341504

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

 Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
 Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes 
No ☐
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

5

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
 Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 25
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: NARAYANI

AGE: 22

PHONE NUMBER: 8810650400

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad
11.What do you normally use during your period?
Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

3

Your family
18.Over the past year how often have you gone without enough food to eat?
 Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 26
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: ARCHANA SHAKYA
AGE: 26

PHONE NUMBER: 9643618661

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
 Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

2 Days
 Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 27
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: PALLAVI

AGE: 21

PHONE NUMBER: 7291001585

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

 Menstrual cup 

Reusable pad that you can wash and use

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes 
No ☐
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 

17.How many days do you bleed each month?

 6 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes 
No ☐
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 28
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SIMRAN

AGE: 25

PHONE NUMBER: 8860023626

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 
 Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5 10 ☐

17.How many days do you bleed each month?

4 Days
 Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 29
 Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SONIA

AGE: 23

PHONE NUMBER: 9560380408

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

 Tampon
Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5 10 ☐
17.How many days do you bleed each month?
3-4 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐
Form no. 30
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SHAHEEN

AGE: 19

PHONE NUMBER: 9871014159

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes 
No ☐
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.
10.Which of these product have you heard of?
Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes 
No ☐

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7
3☐ 8☐
4☐ 9☐
5☐ 10 ☐
17.How many days do you bleed each month?
4-6 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes 
No ☐
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 
Form no. 31
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: GULSHAN SIDDIQUI

AGE: 22

PHONE NUMBER: 792552214

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
 Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
 3☐ 8☐
4☐ 9☐
5 10 ☐

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes 
No ☐
25.During my period I feel less confident then when I am not on my period.
Yes 
 No ☐

Form no. 32
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: TWINKLE GUPTA

AGE: 24

PHONE NUMBER: 9761955599

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 
 Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)
 1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5 10 ☐

17.How many days do you bleed each month?

4 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
 25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 33
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: JAYASHREE

AGE: 22

PHONE NUMBER: 9643759509

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
 Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes ☐
No 
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 
 Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

4 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
 24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 34
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: FARIYA

AGE: 24

PHONE NUMBER: 8287528481

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 
 Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 

17.How many days do you bleed each month?

6 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
 24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 35
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: ADITI

AGE: 29

PHONE NUMBER: 7678558096

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes 
No ☐
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes 
No ☐
8. Pain during Menstrual means that someone is sick
 Yes 
No ☐
9. It is harmful for a woman’s body if she runs or dances during her period
Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
 No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5☐ 10 

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
 Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 36
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: DIPTI

AGE: 23

PHONE NUMBER: 7297043583

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
 No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

6 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
 No 
23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 37
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: PRERNA

AGE: 25

PHONE NUMBER: 9958318681

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes 
No ☐

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use 

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9
5☐ 10 ☐

17.How many days do you bleed each month?

5-6 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
Yes 
 No ☐
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes ☐
No 
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 38
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: KIRTI CHOPRA

AGE: 25

PHONE NUMBER: 8920723678

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
Yes 
 No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad 

Menstrual cup 

Reusable pad that you can wash and use

again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
 No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5 10 ☐

17.How many days do you bleed each month?

4 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never 
Once or twice ☐
Several times ☐
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice 
Several times ☐
Many times ☐
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
No ☐
21.During my period I feel as good as other people.
 Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes ☐
No 

Form no. 39
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SHREYA

AGE: 24

PHONE NUMBER: 7379376976

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes ☐
No 
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
No 
6. Menstrual blood comes from the womb
 Yes ☐
No 
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon 

Disposable sanitary pad

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes 
 No ☐
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7
3☐ 8☐
4☐ 9☐
5☐ 10 ☐

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times 
Many times ☐
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times ☐
Always 

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes ☐
No 
21.During my period I feel as good as other people.
 Yes ☐
No 
22.During my period I feel as good as other people
Yes 
No ☐
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐

Form no. 40
Questionnaire Assessing Girl’s Menstrual Hygiene Practices
NAME: SHOBHNA YADAV

AGE: 23

PHONE NUMBER: 8957426433

Please tick the response that are TRUE for you or write your response in the space provided:

1. Have you started your period?

Yes 
No ☐
2. Women stop menstruating as they grow very old
Yes 
No ☐
3. Menstruation is a disease
Yes ☐
No 
4. Pregnant women menstruate
Yes ☐
No 
5. Menstrual blood comes from the stomach where the food is digest
Yes ☐
 No 
6. Menstrual blood comes from the womb
Yes 
No ☐
7. Menstrual blood contain dangerous substances
Yes ☐
No 
8. Pain during Menstrual means that someone is sick
Yes ☐
No 
9. It is harmful for a woman’s body if she runs or dances during her period
Yes ☐
No 

Menstruation
Period can make life more difficult for girls. It can be embarrassing but it’s important to talk
about it.

10.Which of these product have you heard of?

Tampon
Disposable sanitary pad 

Menstrual cup
Reusable pad that you can wash and use
again e.g. home-made pad

11.What do you normally use during your period?

Cloth/towel
Tampon
Purchased sanitary pad 

Menstrual cup
Toilet paper
Cotton
Mattress
Other (please write them here)

Disposable Sanitary Pad

12.Have you bought disposable sanitary pad from a shop in the last six months?
Yes 
No ☐
13.Have you ever wanted to buy disposable sanitary pads from a shop but been unable to?
Yes ☐
No 
14.I do not have enough money to buy disposable sanitary pads from a shop?
Yes ☐
No 
15.There are no disposable sanitary pads in the shop.
Yes ☐
No 

Your period
16.On a scale of 0 to 10, indicate the average level of pain you experience during your period if
10 is the worst pain you’ve ever had and 0 is the pain free (please tick on your response)

1☐ 6☐
2☐ 7☐
3☐ 8☐
4☐ 9☐
5 10 ☐

17.How many days do you bleed each month?

5 Days

Your family
18.Over the past year how often have you gone without enough food to eat?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

19.Over the past year how often have you gone without medicine?
Never ☐
Once or twice ☐
Several times ☐
Many times 
Always ☐

Self esteem
Please mark whether these statements are TRUE for you during your period:
20.During my period I am happy with myself.
Yes 
 No ☐
21.During my period I feel as good as other people.
Yes 
No ☐
22.During my period I feel as good as other people
Yes ☐
No 
23.During my period I wish I could be happier.
Yes 
No ☐
24.During my period I feel that I am a failure.
Yes ☐
No 
25.During my period I feel less confident then when I am not on my period.
Yes 
No ☐