Objective:  To gather data on information that was provided to women before they chose breast implants so that we can assess what types of additional information might be needed.

Note: This survey is for either augmentation or reconstruction patients.

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* 1. Name

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* 2. Email address

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* 3. Did you receive your implant or implants for augmentation or for reconstruction after mastectomy?

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* 4. What year was your implant or implants placed?

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* 5. What time of year was your implant or implants placed?

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* 6. Do you remember if the surface of your implants or implants was smooth or textured?

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* 7. During your consultation, did your doctor inform you about the risks of breast implant-associated large cell lymphoma (BIA-ALCL, which is a type of lymphoma caused by breast implants that develops near the breasts)?

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* 8. During your consultation, did your doctor inform you about any symptoms such as fatigue, joint pain, problems concentrating (often referred to as "breast implant illness")?

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* 9. If you answered YES to Question #7 or #8, did your doctor make it sound like these risks are very rare and/or nothing to worry about?

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* 10. Have your personally experienced any new symptoms since getting your breast implant(s) (such as fatigue, brain fog, joint pain, anxiety, hair loss, depression, rash, autoimmune disease, inflammation, or unexplained weight changes)?

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* 11. If you contacted your primary care doctor about any new symptoms, did he/she inform you that they could be caused by your breast implant(s)?

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* 12. Overall, do you feel you were accurately informed about the most serious risks associated with breast implants?

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* 13. Is there anything else you would like to tell us?

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