Thank you for your interest in this research study. The purpose of this study is to learn more about dietary intake across the menstrual cycle in healthy pre-menopausal women and in relation to appetite, sex hormones, resting metabolic rate, body composition, physical activity, and premenstrual symptoms.

Before you come in to learn more about the study, it would be helpful to see if you are likely to qualify to be in the study. In order to do this, the following questionnaire will ask you about your health history, including questions about your mental health and drug and substance use. It should take about 20 minutes to go through these questions. Some of the questions may make you uncomfortable; you do not have to answer any question that you would not like to answer, but without answers to these questions, you may not be eligible to participate in the study. The data collected as part of this form will be kept only on a secure server and hosted and retained separately from information collected from study participants. This form will not be printed out, sent to anyone outside of the research team, or used for any research. At the end of this form, you will have the option to opt-in for future communications about other studies you may be eligible for. If you select ‘yes’ to the communications opt-in, your data will be kept on a secure server for five years. If you select ‘no’ to the communications opt-in, information that can identify you will be retained only until the end of the study; we retain this information until study completion in case the inclusion criteria changes (at which point we may contact you if you are eligible under the new inclusion criteria). If you have any questions or concerns regarding the ethical procedures for this study, you may contact the Research Participant Complaint Line in the University of British Columbia Office of Research Ethics by e-mail at or by phone at 604-822-8598 (Toll Free: 1-877-822-8598.)

If you are eligible to participate, you will be given the option to schedule a meeting that will take approximately (~) 45 minutes to review the consent form in person or over Zoom. The consent form contains information on benefits and risks of the research study and what would be required if you are eligible and choose to participate. If you would like to view the consent form (without signing) before you complete this questionnaire, you may download it, below.

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