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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?
This question assesses the respondent's awareness of obstetric fistula.
Yes
No
2
Are you familiar with the types of obstetric fistula?
This question assesses the respondent's knowledge about the types of obstetric fistula.
Yes
No
3
Types of obstetric fistula
Select the type(s) of obstetric fistula you are familiar with.
Rectovaginal Fistula (RVF)
Vesicovaginal Fistula (VVF)
Both
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.
Yes
No
5
Common signs/symptoms of obstetric fistula
Select the common signs/symptoms of obstetric fistula that you are aware of.
Urinary incontinence
Vulvar irritation
Foul-smelling vaginal discharge
6
Provide any additional comments or information about obstetric fistula (optional)
Please share any additional thoughts or information you have about obstetric fistula.
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