Endo-Ease Beta Post-Assessment

Your online women’s health assessment is private and confidential and reviewed by a qualified and registered physiotherapist. We respect your privacy and will not disclose your personal information.
Select all the options that apply to you. Fill in as many details as you can. If you don’t feel comfortable to select an option, you may skip it, however you may miss out on valuable information that could help you overcome the issue.
  • Part 1 :

  • Please rate your pain on a scale of 0-10, 0 being no pain, 10 being the worst possible pain.

  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Please enter a value between 0 and 10.
  • Part 2: Pelvic Pain Impact Questionnaire

  • In the past month, how much has your pelvic pain affected your:

  • If the following questions apply to you, please answer. If not, please leave these blank. These questions will not be added to your summed score

  • Part 3: Marinoff Dyspareunia Scale

  • Part 4: Endometriosis Health Questionnaire

    Select one of the 5 options that relates to each question and the effects of endometriosis on your health and life..
  • During the last 4 weeks, how often, because of endometriosis, have you:

  • Part 5: Pain Catastrophizing Scale

    We are interested in the types of thoughts and feelings that you have when you are in pain. Listed below are 13 statements describing different thoughts and feelings that may be associated with pain. Using the following scale, please indicate the degree to which you have these thoughts and feelings when you are experiencing pain.
  • Part 6

  • Part 7