Section 1: Demographic Information

Gender:

Female

Male

Other (please specify)

Age:

Under 18

18-24

25-34

35-44

45-54

55 and above
Educational Institute:

School

College

University

Madrassah

Other (please specify)

Location of Educational Institute:

Urban

Rural
Grade/Level:

Primary
 Secondary

Higher Secondary

Undergraduate

Postgraduate

Section 2: Awareness and Education

Are you aware of menstrual hygiene and its importance?

Yes

No
Have you received education about menstrual hygiene in your educational
institute?

Yes

No
If yes, how would you rate the quality of the menstrual hygiene education
provided?

Excellent

Good

Fair

Poor
How comfortable do you feel discussing menstrual hygiene issues in your
educational institute?

Very uncomfortable

Uncomfortable
 Neutral

Comfortable

Very comfortable

Section 3: Accessibility to Menstrual Hygiene Products

Are menstrual hygiene products available in the washrooms of your educational
institute?

Yes

No
If yes, are these products provided for free or at a cost?

Free

At a cost
How often do you face difficulties in accessing menstrual hygiene products in your
educational institute?

Never

Rarely

Occasionally

Frequently

Always
Have you ever missed classes or stayed home due to a lack of access to menstrual
hygiene products?

Yes

No
Do you feel that there is sufficient privacy in washrooms for changing menstrual
hygiene products?

Yes

No
Have you ever had to ask a friend or teacher for menstrual hygiene products
because you couldn't access them yourself?

Yes

No
How satisfied are you with the range of menstrual hygiene products available in
your educational institute?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Section 4: Challenges and Support

Are there any specific reasons why you prefer to bring your own menstrual
hygiene products rather than using those provided by the educational institute?

Yes

No
How do you dispose of used menstrual hygiene products at your educational
institute?

Trash/bin
 Incinerator

Other (please specify)

Have you ever faced stigma or discrimination related to menstruation in your
educational institute?

Yes

No
If yes, please describe the situation briefly:

Are there any support services or resources available in your educational institute
for students who require assistance with menstrual hygiene management?

Yes

No

Section 5: Supply Chain Issues

Have you experienced disruptions in the supply chain of menstrual products, such
as shortages or delays?

Yes

No
Do you think there are inefficiencies in the supply chain that affect the availability
of menstrual products?

Yes

No
Are menstrual products consistently available throughout the month, or do you
notice fluctuations in availability?

Consistently available

Fluctuations in availability
Section 6: Waste Management
How do you dispose of used menstrual products?

Flush down the toilet

Dispose in a designated bin

Wrap and dispose with regular waste

Other (please specify)

Is there proper waste management infrastructure in your area for menstrual waste?

Yes

No
Have you faced challenges in disposing of menstrual waste safely and
hygienically?

Yes

No

Section 7: Policy and Advocacy

Do you think there should be government policies addressing menstrual health and
hygiene?

Yes

No
What measures do you think should be taken to improve access to menstrual
products and menstrual health education?

Subsidies or free distribution of menstrual products

Comprehensive menstrual health education in schools

Establishment of community-based initiatives

Other (please specify)

Are there any local organizations or initiatives working on menstrual health that
you are aware of?

Yes

No

Section 8: Suggestions and Feedback

How do you think the accessibility of menstrual hygiene products in your
educational institute can be improved?

Increase availability in washrooms

Provide products for free

Improve quality of products

Enhance privacy in washrooms

Other (please specify)

Are there any specific challenges you face regarding menstrual hygiene in your
educational institute that you would like to highlight?

Yes

No
If yes, please describe:
Do you think there should be a designated person or committee responsible for
managing menstrual hygiene in educational institutes?

Yes

No
In your opinion, what role should educational institutes play in promoting
menstrual hygiene awareness and accessibility?

Provide education programs

Provide free menstrual hygiene products

Ensure proper waste management

Other (please specify)

Do you think there should be a menstrual hygiene education curriculum integrated
into the academic syllabus?

Yes

No
Any additional comments or suggestions related to menstrual hygiene in
educational institutes?

Yes

No

Section 9: Consent
By submitting this survey, you consent to the use of your responses for research
purposes.
Thank you for participating in our survey! Your input is valuable in improving
menstrual hygiene management in educational institutes. If you have any further
questions or concerns, please feel free to contact us.
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Feel free to modify or add questions as needed to suit the specific context and
objectives of your survey.