Female Athlete Menstrual History Form
Name
Date of Birth
Sport
Age at first period (Menarche)
Typical cycle length (days)
Date of last period
How often do you have your period?
Regular (Every 21–35 days)
Irregular
Less than every 35 days
Never
Have you ever missed periods for 3 months or more (not due to pregnancy or contraception)?
Yes
No
Are you currently experiencing any menstrual problems? If yes, please describe:
Are you currently using any form of hormonal contraception?
No
Pill
Intrauterine device (IUD)
Implant
Injection
Other
Additional notes or relevant history