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Women's Medical Issues Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Have you ever been diagnosed with a gynecological condition?
Please select the option that best describes your situation
Yes
No
2
Rate the level of discomfort during your menstrual cycle
Rate the level of discomfort from 1 to 10 (1 being the lowest and 10 being the highest)
3
Please describe any specific medical issues related to women's health you have experienced
Please provide detailed information about your experiences
4
How often do you undergo a routine gynecological examination?
Please select the frequency at which you have check-ups
Every year
Every 2 years
Every 3 years
I don't have regular check-ups
5
Rate your knowledge about common women's health issues
Rate your knowledge level from 1 to 10 (1 being the lowest and 10 being the highest)
6
Do you have a family history of breast cancer?
Please select the option that applies to you
Yes
No
Not sure
7
What is your preferred method of birth control?
Please select the option that best represents your choice
Birth control pills
Condoms
IUD
Other
8
How often do you perform breast self-examinations?
Please select the frequency at which you check your breasts
Every month
Every few months
Rarely
Never
9
Rate your overall satisfaction with the healthcare services you receive for women's health
Rate your satisfaction level from 1 to 10 (1 being the lowest and 10 being the highest)
10
In your opinion, what are the most pressing medical issues affecting women today?
Please share your thoughts and opinions
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