I am Pre -Med and I am conducting research on what women experience during their yearly pelvic exam. This survey is ANONYMOUS and is for Women ONLY.
Real Gynecology Exam Experiences
Hi. I am a premed student conducting research on what people experience when they go for their yearly gynecological exams with their physician. This is a completely ANONYMOUS Survey. Thanks for participating. Thanks docm1030@yahoo.com
1. How old are you?
0-10
11-18
19-25
26-40
41-60
60 +
2. Are you currently a virgin?
Yes
No
3. Were you a virgin at your first visit?
Yes
No
4. Is your doctor Male or Female?
Male
Female
5. For this type of exam, do you prefer your doctor to be......................
Male
Female
Does not Matter
6. What type of doctor gives you this type of examination?
OB/GYN
Family Practitioner (aka GP)
6. When was your first pelvic examination?
18
19
20
21
22
23
24
25
26
27
28
29
30
30 +
7. When was your last period?
Today
Last Week
2 weeks ago
3 weeks ago
last month
More than a month ago
8. How many times do you urinate in 1 day?
Once
Twice
Three times
4 times
More than 4 times
9. When was your last pelvic examination?
Today
Yesterday
Last Week
Last month
6 months ago
1 year ago
More than a year ago
10. Are you weighed and measured?
Yes
No
If so, who weighs and measures you?
Doctor
Nurse
I do not get weighed or measured
11. Do you give a urine sample?
Yes
No
During your examination, how are you dressed?
Fully clothed
Shirt, bra, no panties
Gown
Naked
12. During your initial examination, does your doctor..............(Mark all that apply!)
Take your blood pressure
Take your temperature
Listen to heart and lungs
Takes your pulses
13. Does the doctor examine your breasts?
Yes
No
14 What is your breast size? (For double letters, mark one closest to your size)
32 A
32 B
32 C
32 D
34 A
34 B
34 C
34 D
36 A
36 B
36 C
36 D
38 A
38 B
38 C
38 D
15. Do you do a monthly self-examination once a month to check for breast cancer?
Yes
No
16. During your breast examination, does your doctor..............
Lying down - inspects and palpates each breast, palpates nipples for discharges
Sitting up - inspects and palpates each breast, palpates nipples for discharges
Both - examines lying down and sitting up
No breast examination
16. Does the doctor examine your abdomen?
Yes
No
If so, how does the doctor examine your abdomen?
Palpates abdomen and percusses
Listens to abdomen with stethoscope
Both
No abdomen exam
17. During the external examination of your genitalia, does the doctor? (Mark all that apply!)
Inspects your vulva
Inspects and palpates your pubic area
Inspects and palpates clitoris
Inspects and palpates labia majora and labia minora
Inspects urethra meatus
Inspects introitus (entrance to vagina)
18. Does your doctor check you for a hernia?
Yes
No
If so, how does your doctor check you for a hernia?
Standing - pokes in groin and has you cough
Lying down - pokes in groin and has you bear down or grunt
Both standing and lying down
No hernia exam
19. During the internal examination of your genitalia, does the doctor use.........................
Plastic Speulum
Steel Speculum
20. During the internal examination of your genitalia, does your doctor............................(Mark all that apply!)
Insert finger into vagina to palpate vaginal walls, G-Spot,
Examine your cervix
Bimanual exam (finger in vagina, hand on abdomen) to examine ovaries and uterus
Recto-Vaginal exam (finger in rectum, finger in vagina) to examine your cervix, vagina, uterus
21. Does your doctor do a Pap Smear?
Yes
No
22. Overall, how would you describe your experience?
Positive
Negative
Please send your answer to my email directly,
For those would would like to see the results in a couple months from now, please e-mail me directly.
Thanks again for all of your help!
Thanks for your help!
Matt
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