.

Obstetric Fistula Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

Have you ever heard of obstetric fistula?

This question assesses the respondent's awareness of obstetric fistula.
2

Are you familiar with the types of obstetric fistula?

This question assesses the respondent's knowledge about the types of obstetric fistula.
3

Types of obstetric fistula

Select the type(s) of obstetric fistula you are familiar with.
4

Are you aware of the signs/symptoms of obstetric fistula?

This question assesses the respondent's knowledge about the signs and symptoms of obstetric fistula.
5

Common signs/symptoms of obstetric fistula

Select the common signs/symptoms of obstetric fistula that you are aware of.
6

Provide any additional comments or information about obstetric fistula (optional)

Please share any additional thoughts or information you have about obstetric fistula.