Endosal Physician Review

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Endosal specialists are as are rare as the disease! Help you community out by submitting OB/GYN or Drs whom have treated you for Endosal/Pelvic Health. We want the good and the bad!
This survey is completely anonymous & may be completed as many times as you wish. Data will be compiled and publicly available on EndosalFoundation.Org or raw data by request (endosalgal@gmail.com).

Name of physician? *

Their location? (City, State/Territory, & Country) *

Hospital/Health Care System they are in?

What kind of care do they provide? *

1 = Very dissatisfied 5 = Very satisfied

Excision/Ablation Surgery

Hormonal Treatment

Homeopathic/Holistic Treatment

Counseling

Endosalpingiosis Diagnosis

Endosalpingiosis Information

Other:

Required

How knowledgable were they on Endosalpingiosis? *

Never heard of it.

Able to diagnose and reccomend treatment.

How satisfied were you with their care? *

Not very

Very much

Are they Board Certified OB/GYN or Surgery?

Both presented and pre-read material

Yes

Unknown

Clear selection

What else should we know?

What else would you like to know? (Suggestions for improvement)

Name (optional)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms