General Patient Information
Patient Medical Histtake this questionnaire back to its original formory
Endometriosis Health Profile Questionaire
During the last 4 weeks, how often, because of your emdometriosis or pelvic pain, have you.....
During the last 4 weeks, how often, because of your endometriosis or pelvic pain, have you
During the last 4 weeks, how often, because of your endometriosis or pelvic pain, have you...
During the last 4 weeks, how often, because of your endometriosis or pelvic pain, have you ...
During the last 4 weeks, how often, because of your endometriosis or pelvic pain, have you ...
Health Questionnaire (EQ-5D-5L)
Under each heading, please tick the ONE box that best describes your health TODAY
In order for us to assess your requirements and create a personal management plan, please list the top 3 goals you would like to achieve through attending the Hunters Hill Endometriosis and Pelvic Pain clinic
Thank you for completing this information. Your answers will be compiled and our Endometriosis nurse will contact you in the next few days to arrange your first clinic appointment.
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