1. Do you experience unstable emotion issues week before/after menstrual period? (e.g. nervousness, irritability, anxiety, depression, mood swings)

2. Do you find yourself have difficulty in concentrating, less interest OR lethargy week before/after menstrual period?

3. Are you suffered from joint pain/ muscular ache/ backache/abdominal pain week before/after menstrual period?

4. Do you find yourself have difficulty in sleeping (7-8 hours) week before/after menstrual period

5. Do you find yourself have breast tenderness week before/after menstrual period?

6. Do you find yourself have headache/nausea week before/after menstrual period?

7. How do you rate your menstrual pain score?

8. Do you go to sleep easily and sleep (7-8 hours) through the night everyday?

9. Do you get at least 30 minutes of exercise OR activity everyday?

10. Do you eat balanced diet every meal?

11. Do you OR parents/ family members have any chronic illness or diseases?

12. Are you a smoker/ drinker?

13. How would you describe your working mood?