We are looking for females aged 18-50 who have been diagnosed with Uterine Fibroids to take part in a group discussion for 90 minutes In London.
LOCATION:
London W1
DATE:
Wednesday 16th December 2015
INCENTIVE:
£90.00
TIME:
4.45pm/6.45pm/8.45pm
Please answer the questions below.
Name:
Telephone number:
Postcode:
Age:
Occupation:
Working Status:
Are you currently pregnant? Yes/No?
How long ago were diagnosed as having Uterine Fibroids?
Have you ever been diagnosed with cancer? Yes/No?
Which of the following methods were used to help diagnose Uterine Fibroids?
Ultrasound or other imaging test
MRI scan
Exploratory surgical procedure such as laparoscopy
Pelvic examination
None of the above
Which of the following types of medication, if any, are you currently using to help treat the uterine fibroids?
Over the counter pain relief
Prescription pain relief
Contraception/birth control medication
Esmya
Hysterectomy
Other surgical procedure
Enantone
Are you currently going through or have you gone through the menopause? Yes/No?
Which of the following best describes your menstrual cycle?
I have had a period every month for the last 12 months
I have not had a period every month but have had at least one period in the last 12 months
I have not had a period in the last 12 months
Please forward this on to anyone you know who may be interested.
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