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Surveys
2012
November
P
Polycystic Ovary Syndrome
Polycystic Ovary Syndrome
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Hello:
You are invited to participate in my survey on Polycystic Ovary Syndrome. In this survey, approximately 20 people will be asked to complete a survey that asks questions about the feelings and symptoms women have. It will take approximately 3 - 5 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact me at
[email protected]
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below. :)
I Agree
How old were you when you were first diagnosed with PCOS?
15 - 17
18 - 20
21 - 25+
Describe how you felt when you first found out?
Scared
Relieved
Annoyed
Depressed
Upset
What symptoms do you suffer most from?
Diabetes
Body Shape
Sleep Apnea
Mood Changes
Low Self-Esteem
Depression
Fertility Problems
Weight Problems
Hair Loss
Acne
Excess Facial/Body Hair
Irregular Periods
Other
What symptoms concern you the most?
Mood Changes
Irregular Periods
Excess Facial/ Body Hair
Acne
Weight Problems
Diabetes
Depression
Sleep Apnea
Fertility Problems
Low Self-Esteem
Other
What treatment plan are you using?
Diet
Diet and Exercise
Medication
Combination
Gastric Lapband
Other
Who is your biggest support network?
Family
Mother
Father
Brother
Husband
Sister
Other
Do you think people understand how PCOS affects your well-being?
Yes
No
Do you think there is enough said/done to raise awareness of PCOS in young girls?
Yes
No
Do you feel you have control/knowledge of PCOS?
Yes
No
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