POTENTIAL MIRENA IUD CONTRACEPTIVE SIDE EFFECTS
This survey is targeted at all women who have used the mirena  iud , please answer all questions of what you believe are potential side effects or health issues that occurred during your use of this product. Side effects are either once mirena had been placed or after you had mirena removed.
Sign in to Google to save your progress. Learn more
DID YOU SUFFER ANY OF THE FOLLOWING ISSUES SINCE MIRENA USE? *
Required
HAVE YOU EXPERIENCED ANY OTHER SIDE EFFECTS NOT LISTED ABOVE PLEASE WRITE BELOW OR IF YOU ANSWERED OTHER IN ANY BOXES LIST CONDITONS-
DO YOU THINK THAT OVERALL MIRENA DELIVERED WHAT IT PROMISED
DO YOU FEEL YOUR DOCTOR ADEQUATELY EXPLAINED THE POTENTIAL RISKS OF MIRENA PLEASE EXPLAIN BELOW
DID YOU HAVE ISSUES IN GETTING YOUR DOCTOR TO AGREE TO REMOVE MIRENA ?
WOULD YOU RECOMMEND MIRENA ? PLEASE EXPLAIN WHY YOU WOULD OR WOULDNT BELOW -
IS THERE ANYTHING ELSE YOU WOULD LIKE TO ADD ABOUT YOUR MIRENA EXPERIENCE?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report