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

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* 1. Are you male or female?

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* 2. What is your current age?

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

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* 4. What was the reason for the exam?

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* 5. Which exam were you given?

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* 6. Where was the exam performed?

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

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

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* 9. How were you clothed for the exam?

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* 10. How were you positioned for the exam?

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

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* 12. Were you given sedation before the exam?

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

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* 14. How painful was your exam?

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

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* 16. How long did the procedure take?

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

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