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Obstetric Fistula 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 heard of obstetric fistula?

Please select if you have heard of obstetric fistula before.
2

Do you know the type of fistula?

Please select if you are aware of the types of obstetric fistula.
3

Type of obstetric fistula

Please select the type of obstetric fistula you are aware of.
4

Do you know the signs/symptoms of obstetric fistula?

Please select if you are aware of the signs and symptoms of obstetric fistula.
5

Know the signs/symptoms of obstetric fistula

Please select the signs/symptoms of obstetric fistula that you are aware of.
6

Question 6

Please answer the following question.
7

Question 7

Please rate the following on a scale of 1 to 10.
8

Question 8

Please provide a short answer to the following question.
9

Question 9

Please answer the following question.
10

Question 10

Please select the most appropriate option.
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