CPOP SURVEY

Patient Initials *

Questions

1. What kind of clinician fitted your C-POP? (Eg. Physio, GP, gynaecologist, urogynaecologist, urologist, etc) *

2. Do you find the C-POP comfortable and easy to use? *

3. Does the C-POP improve your quality of life and if so, in which ways? *

4. Have you had any issues with the C-POP? If yes please explain, and did you report this to your clinician? *

5. Any other feedback you would like to add? *

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