TWSHF.org > Surveys for Women > Sexual Health Discussion Survey

Sexual Health Discussion Survey

If you are a woman, please read the following categories and check those that apply keeping in mind you will be asked in the survey what is the specialty of the healthcare provider who you are referring to throughout the survey.

Race:
Annual Income:
Age Range:
Education:
Relationship:
Location:


How would you rate the following statements concerning
discussing sexual health problems with your healthcare provider?
I believe that my healthcare provider would be comfortable with me initiating a discussion concerning my sexual health problem(s).
I believe that my healthcare provider would not want to discuss my sexual health problem(s).
I believe that my healthcare provider has the education or expertise to discuss my sexual health problem(s).
I believe that my healthcare provider would be aware of the proper medical treatment if I had a sexual health problem(s).
I believe that my healthcare provider would be aware of the proper tests to be performed concerning my sexual health problem(s).
I have been told by my healthcare provider that my sexual health problem is psychological.
If my healthcare provider initiated a conversation about any sexual health problem(s) I would be:
How often has your healthcare provider initiated questions about sexual health difficulties during an annual office visit?
Would you prefer that your healthcare provider initiate the discussion on sexual health issues?
What is the specialty of the healthcare provider who you are referring to in the above questionnaire?
Which type of healthcare provider would you expect to be the most knowledgeable concerning female sexual dysfunction?
Thank you for taking this survey.     
 
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Last Modified: 02/19/2005