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Pap Smears and Women's Health Survey



Thank you for taking the time to complete this survey. This survey is part of a 5th year UNSW Medicine Women's Health study examining the attitudes of women to Pap Smear tests as part of preventative medicine. All information gathered here is strictly confidential and anonymous.Your help is greatly appreciated.


Q1) Age Group (tick which is appropriate)
15-20
21-30
31-40
41-50
51-60
61-70
70+


Q2) What is your highest level of education attained?
Primary School
Secondary School (please state year of completion)
University - Current Student/graduate


Q3) Occupation - is it health related?
yes
no

Q4) What is a Pap smear?
Blood test
Vaccination
Special cream
Cervical smear

Q5) Who needs a Pap smear?
Sexually active women aged 18-25
Females taking the oral contraceptive pill
Post-menopausal women
All of the above

Q6) Why is a Pap smear carried out?

Q7) Is having a Pap smear painful? Yes No


Q8) If you have had a Pap smear how would you judge your experience? (if not please proceed to Question 13)
It was a positive experience
I just wanted to get it done and did not want to think about it
It was a terrible experience
I was extremely anxious
Please give some reasons for the above experience




Q9) During your previous experience, you felt that (please tick those that apply)
The doctor was caring and considerate during the procedure
You were assaulted and did not understand the procedure
There was adequate explanation and you understood the procedure
You knew why you needed the Pap smear
What things do you feel could have been done to make the situation better?




Q10) With regards to Pap smears, you would:
Never have another Pap smear, the experience was too traumatic
Maybe have another Pap smear, you would have to think about it
Maybe return but would request a different doctor
Maybe return to the same doctor
Definitely return but request a different doctor
Definitely return to the same doctor


Q11) Would you recommend/encourage friends or family to have a Pap smear? Yes No


Q12) How frequently do you have your Pap smears?
Only once, it was normal so I haven't gone back
Every 10 years
Every 5 years
Every 2 years
Every 6 months


Q13) There is a test available which is currently not paid for by Medicare. It is called a 'Thin-Prep' and it improves the accuracy of the Pap smear. It would cost you an extra $30.00

Have you heard about this before? Yes No

Would you pay for this? Yes No

Has your doctor used it for you before? Yes No



Q14) In terms of gender of doctor I would prefer:
A male
A female
Not concerned
Reasons for your response above:




The following questions are related to cervical cancer

Q15)Which of the following do you believe are risk factors for cervical cancer (ie make it more likely for a woman to get cervical cancer - please tick all that apply)
Tampons
Alcohol
Pregnancy
Douching
Smoking
IUD
Family History
Stress
Unprotected Sexual Intercourse
Oral Contraceptive Pill
Pelvic Infection
Marijuana


Q16) Symptoms of cervical cancer include:
Nothing
Bleeding
Discharge
Abdominal pain and bloating
Fever


Thank you for your participation in this survey.