Quiz

How many days does your period usually last, from the time bleeding began until it completely stopped?(Required)

A. Less than 7 days

B. Greater than or equal to 7 days

C. Don’t know

How often do you experience a sensation of “flooding” or “gushing” during your period?(Required)

A. Never, rarely, or some periods

B. Every or most periods

C. Don’t know

How often did you experience a sensation of “flooding” or “gushing” during your period?(Required)

A. Never, rarely, or some periods

B. Every or most periods

C. Don’t know

Have you ever been treated for anemia?(Required)

A. NO

B. YES

C. Don’t know

Has anyone in your family ever been diagnosed with a bleeding disorder?(Required)

A. NO

B. YES

C. Don’t know

Have you ever had bleeding problems with a tooth removal or dental surgery?(Required)

A. NO (If no, go to question 7)

B. YES

C. Don’t know

Did you have bleeding problems after surgery?(Required)

A. NO

B. YES

C. Don’t know

Have you ever had bleeding problems after giving birth or after a miscarriage?(Required)

A. NO

B. YES

C. Don’t know

Email(Required)

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