Pre-Toolkit Survey

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Pre-Toolkit Survey

We invite you to participate in a research study evaluating the impact of the THINK ENDO Toolkit and the educational film, Below the Belt, on medical providers' and students' knowledge, empathy, and behavioral intentions towards endometriosis. This study aims to assess how the toolkit + film influences participants’ understanding and attitudes toward the condition and how it may impact their future interactions with patients who have endometriosis.Your participation in this study is entirely voluntary. No personal identifying information, including your name, will be used in any published results. By completing the pre and post surveys, you are agreeing to participate in this study.

Evaluating the Impact of the Think Endo Toolkit and the film Below the Belt on Medical Provider Knowledge, Empathy, and Behavioral Intentions Towards Endometriosis.

Email *

Full Name

Please check the box indicating your role:

Medical Student

Medical Professional

School Nurse

Other:

Required

1. Which of the following statements are true about endometriosis?

Check all that apply.

It occurs when tissue similar to the uterine lining grows in other parts of the body.

It is part of being a woman.

It’s been found in every major organ.

It’s the cause of up to 50% of unexplained infertility in women.

None of the above

Required

2. Approximately how many girls and women does endometriosis affect?

Mark only one circle.

1 in 10

1 in 25

1 in 50

1 in 100

None of the above

3. How long is the average delay of first symptoms to diagnosis in the United States?

Mark only one circle.

6 months

1 year

5 years

10 years

None of the above

4. Which of the following groups can endometriosis affect?

Check all that apply.

Girls who have not begun menstruation

Teenagers

Women in their 30s

Post-menopausal/post-hysterectomy individuals

None of the above

Required

5. What symptoms can people with endometriosis have?

Check all that apply.

Pelvic pain, before, during or after their period

Gastrointestinal symptoms like bloating, constipation, diarrhea and nausea

Pain during or after sex

Fatigue

None of the above

Required

6. How can endometriosis be successfully treated and cured?

Mark only one circle.

Hysterectomy

Birth Control Pills

Pregnancy

Menopause

None of the above

7. I believe that endometriosis is an important health issue for medical professionals to address.

Mark only one circle with 1 being strongly agree and 5 being strongly disagree.

Strongly Agree

Strongly Disagree

8. I feel confident in my ability to diagnose and treat patients with endometriosis.