1. Your First Pelvic Exam

This is an anonymous survey for women and their experience with their first pelvic exam. Please take a few moments to share your experience. For more information check out firstpelvicexam.com

How old were you when you had your first pelvic exam?

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* 1. How old were you when you had your first pelvic exam?

What country do you live in?

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* 2. What country do you live in?

Was there a specific reason you had your first pelvic exam?

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* 3. Was there a specific reason you had your first pelvic exam?

Who accompanied you to your first pelvic exam?

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* 4. Who accompanied you to your first pelvic exam?

How best describes your emotions that day

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* 5. How best describes your emotions that day

Were you examined by a male or female

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* 6. Were you examined by a male or female

If you were examined by a male, how did you feel about it

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* 7. If you were examined by a male, how did you feel about it

When you were first taken back to the exam room:

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* 8. When you were first taken back to the exam room:

When you were told to undress, were you given privacy to do that?

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* 9. When you were told to undress, were you given privacy to do that?

When you were told to undress were you:

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* 10. When you were told to undress were you:

Since this was your first pelvic exam it was expected that you would have to undress. Had you been required to undress for any previous physical exams?

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* 11. Since this was your first pelvic exam it was expected that you would have to undress. Had you been required to undress for any previous physical exams?

When the doctor came in was he or she accompanied by a nurse?

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* 12. When the doctor came in was he or she accompanied by a nurse?

Even though this was your first pelvic exam, had you seen this doctor before? If yes, what for?

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* 13. Even though this was your first pelvic exam, had you seen this doctor before? If yes, what for?

How did you feel about the doctor that was going to examine you?

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* 14. How did you feel about the doctor that was going to examine you?

Did the doctor take time to explain things to you?

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* 15. Did the doctor take time to explain things to you?

What things did the doctor do?

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* 16. What things did the doctor do?

If the doctor did a rectal exam, did you know it was going to happen?

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* 17. If the doctor did a rectal exam, did you know it was going to happen?

If your rectal exam wasn't done while you were in the stirrups, how was it done?

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* 18. If your rectal exam wasn't done while you were in the stirrups, how was it done?

What was the most embarrassing aspect of your first pelvic exam?

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* 19. What was the most embarrassing aspect of your first pelvic exam?

How did you feel after your exam was over?

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* 20. How did you feel after your exam was over?

Please take a few moments and describe what happened during your first pelvic exam.

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* 21. Please take a few moments and describe what happened during your first pelvic exam.

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