EXIT Pain Assessment - Your Medical Journey Introduction Lets get started with a few basic intro questions OK Question Title * 1. What is your gender Female Transgender I wish to not answer OK Question Title * 2. Your endometriosis status (skip if this doesnt pertain to you) Diagnosed through lap Being treated but not diagnosed Highly suspected Not sure but boy do my periods hurt! I don't have endometriosis but I have pain OK Question Title * 3. If you have been diagnosed, how many surgeries have you had? (skip if this doesnt pertain to you) 0 1 2 3 4 or more OK Question Title * 4. a) have you had a hysterectomy? b) did it help with the pain? (Skip if this doesn't pertain to you) No I haven't a) yes I have b) no it didn't help a) yes I have b) too early to tell a) yes I have b) it helped!! OK Question Title * 5. List any other autoimmune disease or trigger of chronic pain (add n/a if none) OK Question Title * 6. Do you have any biological children? Yes No OK NEXT