ACT Pelvic Pain for service users

  • Q.1

    Have you sought support from a healthcare provider for your pelvic pain?

    Yes
    No
    Other (please specify)
  • Q.2

    Which healthcare providers have you consulted for your pelvic pain?


    (Maximum selection limit : 6)
    General Practitioner (GP)
    Gynaecologist
    Physiotherapist
    Emergency Department
    Nurse Practitioner
    Psychologist

    Other (please specify)

    (Max Character Limit : 500)
  • Q.3

    Approximately how long did you wait between first experiencing symptoms and seeking healthcare support?

    Less than 1 month
    1-6 months
    6-12 months
    More than 1 year
  • Q.4

    Experiences with Healthcare Providers

    Strongly Agree Agree Unsure Disagree Strongly Disagree
    I felt listened to by my healthcare provider
     
     
     
     
     
    My symptoms were taken seriously
     
     
     
     
     
    I felt respected during appointments
     
     
     
     
     
    My healthcare provider explained my condition and treatment options clearly
     
     
     
     
     
    I felt comfortable discussing my symptoms with my healthcare provider
     
     
     
     
     
    I was involved in decisions about my care
     
     
     
     
     
  • Q.5

    Have you experienced any barriers to accessing care for pelvic pain?


    (Maximum selection limit : 7)
    Cost
    Long waiting times
    Difficulty finding a knowledgeable provider
    Travel distance
    Feeling dismissed or not believed
    Embarrassment or Stigma
    Lack of information about available services
    Other (please specify)
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