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GYNKGO: Health Care Provider Survey
Thank you for being a part of our journey to revolutionize and empower pessary management. We are here to directly support the care you are providing for patients. Please take a moment to provide brief feedback on what you have seen from us thus far to help us understand where we can deeper our work to support yours. If you're interested in joining our referral network to get our GYNKGO system into the hands of your patients, be sure to fill out the contact information below and select "Yes" so we can follow-up directly. 
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First Name, Last Name, Business Name, Email *
Are you interested in being part of the GYNKGO Referral Network? (This can include having product in-office, or simply sharing materials and/or verbal referrals with your patients.)  *
If you answered "maybe" please elaborate on addition information you would need to make that decision. 
How did you hear about GYNKGO? *
Do you regularly treat women with prolapse? *
If yes, do you use pessaries as a primary treatment? (Why/why not)? *
What is the biggest challenge you face in treating women with prolapse?
Do you place pessaries in your practice? *
If yes, how many pessaries does your office place each month? *
Would you anticipate recommending a GYNKGO system to your patients? If yes, approximately how many times each month? *
Are you interested in focus group opportunities as we deepen our work with clinicians? *
If you answered "maybe," what additional information would you need to make that decision?
GYNKGO is focused on supporting and encouraging pessary self-management by addressing logistical and emotional challenges. To do this, we are focused first on function (a hygienic, biocompatible, contained place for cleanser, supportive creams, hygienic storage, easy cleaning, and ventilation), and second on the  psycho-emotional (normalizing pessary self-management with a beautiful design that blends in with the rest of body and skincare). Have we missed anything in the design or function of this product that could support your patients?
Finally, please share any additional feedback you have on what we are building, or what you need related to prolapse and pessary management to best serve your patients. 
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