Anusol Survey

1. Which one of the following age categories do you fall within?

Which one of the following age categories do you fall within? Female, 18-30 years

Female, 31-44 years

Female, 45-64 years

Female, 65+ years

Male, 18-30 years

Male, 31-44 years

Male, 45-64 years

Male 65+ years

2. Do you see Piles as a temporary or long term problem?

Do you see Piles as a temporary or long term problem? Temporary

Reoccurring

3. At what point of the day, if any, do you suffer the most?

At what point of the day, if any, do you suffer the most? First thing in the morning when I wake.

In the evening before I go to bed

None specific; constant suffering.

After an activity (please state which)

4. What do you believe to be the causes of your piles?

What do you believe to be the causes of your piles? Pregnancy

Constipation

Diarrhoea

Strenuous exercise

General aging

Being overweight

I have a GI medical condition that can cause piles

It runs in the family

I have no idea

Other (please specify)

5. If you are or have been pregnant then at which stage did you find the piles to be at their worst?

If you are or have been pregnant then at which stage did you find the piles to be at their worst? First trimester

Second trimester

Third trimester

Early stages post-birth

Not relevant

6. Rank the following, in terms of influence, for your choice of treatment?

	1 - Most influential	2	3	4 - Least influential
TV	*Rank the following, in terms of influence, for your choice of treatment? TV 1 - Most influential	TV 2	TV 3	TV 4 - Least influential
Doctor’s Advice	Doctor’s Advice 1 - Most influential	Doctor’s Advice 2	Doctor’s Advice 3	Doctor’s Advice 4 - Least influential
Family/Friend’s Advice	Family/Friend’s Advice 1 - Most influential	Family/Friend’s Advice 2	Family/Friend’s Advice 3	Family/Friend’s Advice 4 - Least influential
Google Search	Google Search 1 - Most influential	Google Search 2	Google Search 3	Google Search 4 - Least influential
Branded Websites	Branded Websites 1 - Most influential	Branded Websites 2	Branded Websites 3	Branded Websites 4 - Least influential
Advice Websites e.g. Netdoctor	Advice Websites e.g. Netdoctor 1 - Most influential	Advice Websites e.g. Netdoctor 2	Advice Websites e.g. Netdoctor 3	Advice Websites e.g. Netdoctor 4 - Least influential
Magazines	Magazines 1 - Most influential	Magazines 2	Magazines 3	Magazines 4 - Least influential
Newspaper	Newspaper 1 - Most influential	Newspaper 2	Newspaper 3	Newspaper 4 - Least influential

7. Which of the following media channels would you find most influential for providing advice?

Which of the following media channels would you find most influential for providing advice? Branded websites

You Tube Advice Videos

Health Websites e.g. Net Doctor

Magazine Health Articles

8. Are there combinations of key triggers that make you suffer more or feel most uncomfortable?

Are there combinations of key triggers that make you suffer more or feel most uncomfortable? Poor diet

Stress

Exercise

Temperature

Other (please specify)

9. What effects, if any, does it have on your day to day living?

What effects, if any, does it have on your day to day living? I am less active

I am more moody/irritable

I do not socialise as much

I cannot concentrate

None of the above

Other (please specify)

10. Who, if anyone, do you consult or speak to when suffering with piles?

Who, if anyone, do you consult or speak to when suffering with piles? Friend

Family

Partner

Pharmacist

Midwife

Online forums

No one

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