RH Survey COVID-19

Tell Us About Your Experience With Uterine Fibroids
Uterine fibroids (UF) are noncancerous growths of the uterus that most often develop during a woman’s childbearing years. They are also called fibromyomas, leiomyomas or myomas. Most American women will develop fibroids at some point in their lives, but many women have no symptoms. Real Health wants to know about your experience with uterine fibroids.
1) Have you ever experienced any of the following symptoms? (Check all that apply.)
2) Has anyone in your family ever been diagnosed with uterine fibroids?
3) Have you ever been diagnosed with uterine fibroids?
4) How much have uterine fibroids affected your quality of life?
5) Have you ever taken medication to treat uterine fibroids?
6) Have you ever had any of the following procedures to treat uterine fibroids? (Check all that apply.)
7) Did your doctor discuss available UF treatment options with you?
8) Did your doctor discuss possible side effects of UF treatment with you?
9) Have you ever had a recurrence of uterine fibroids after treatment?
10) What year were you born?
11) What is your gender?

Other
12) What is your sexual orientation?

Other
13) What is your ethnicity? (Check all that apply.)

Other
14) What is your current level of education?
15) What is your household income?
16) What is your zip code?
Enter the message as it's shown
Should be Empty:

Tell Us About Your Experience With Uterine Fibroids