TABLE 1.

Screening tool

Q1. How many days did your period usually last, from the time bleeding began until it completely stopped?

Q2. How often did you experience a sensation of “flooding” or “gushing” during your period?

Q3. During your period did you ever have bleeding where you would bleed through a tampon or napkin in ≤2 hours?

Q4. Have you ever been treated for anemia?

Q5. Has anyone in your family ever been diagnosed with a bleeding disorder?

Q6. Have you ever had a tooth extracted or had dental surgery?

Q6a. Did you have problem with bleeding after tooth extraction or dental surgery?

Q7. Have you ever had surgery other than dental surgery?

Q7a. Did you have bleeding problem after surgery?

Q8. Have you ever been pregnant?

Q8a. Have you ever had bleeding problem after delivery or after a miscarriage?