Apply for our Research Project:  A New Pain Relief Option for Endometriosis

Which of the following have you experienced?
Check all that apply

Period pain or heavy periods

Chronic pelvic pain

Endometriosis (diagnosed or suspected)

Pain or discomfort during sex (dyspareunia)

Perimenopause or menopause symptoms

Vaginal dryness or discomfort

PCOS

I’m not sure, but I’d like to learn more

OtherIf you chose other please specify here

Do you have a formal diagnosis for any of the above?

Yes

No

In Progress

Prefer not to say

How would you describe your current care experience?

Poor

Average

Great

Prefer not to sayOptional
Tell us more about what’s working — or what’s missing

Do your health concerns affect your daily life?
(e.g. work, study, social or home life)

Yes

No

If you chose yes, please specify here

What are you currently using to manage your health? 
Please list any treatments, therapies, medications, supplements, or lifestyle approaches you’re using, even if they’re informal or self-directed.

What types of treatments or approaches are you open to exploring? 
Select all that apply — there are no right or wrong answers

Pharmacological (prescription medications)

Hormonal therapies

Non-hormonal options

Natural therapies or plant-based medicine (e.g. medicinal cannabis)

Nutritional Therapies

Lifestyle-based approaches (e.g. exercise, diet, stress management)

Not sure / open to learning more