1. Post Operative Assessment of Circumcision

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* 1. What was the date of the Circumcision?

Date:

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* 2. What date did the ring fall off?

Ring fell off:

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* 3. How many days was the ring in place?

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* 4. What complications occurred post operation? More than 1 answer can be given.

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* 5. The number of days the baby seemed to be distressed post operation was

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* 6. The number of doses of paracetamol given post operative was

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* 7. Post operative care. More than 1 answer can be given

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* 8. Sending photos of the wound afterwards is often used to aid communication between families and Dr Sales. More than 1 answer may be chosen.

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* 9. My satisfaction rating for the overall service and procedure was:

  poor adequate good excellent
website
preoperative assessment
in hospital experience
postoperative care

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* 10. Our reasons for having a circumcision for our son include: (more than 1 answer may be given)

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* 11. Any other comments about the circumcision service

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