1. Please take a few moments to tell us about your experience!

* 1. Are you male or female?

* 2. What is your current age?

* 3. How old were you when you had your first proctoscope, sigmoidoscope, or colonoscope exam?

* 4. What was the reason for the exam?

* 5. Which exam were you given?

* 6. Where was the exam performed?

* 7. What kind of bowel prep did you have to do?

* 8. If you were given an enema before the exam, who administered it?

* 9. How were you clothed for the exam?

* 10. How were you positioned for the exam?

* 11. Do you feel that your privacy was respected during the exam?

* 12. Were you given sedation before the exam?

* 13. Did the care provider do a digital rectal exam before the exam?

* 14. How painful was your exam?

* 15. How did you feel about having your bottom exposed?

* 16. How long did the procedure take?

* 17. Please take a moment and tell us what happened during your exam.

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