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. 2014 Feb;3(1):14–21. doi: 10.3978/j.issn.2227-684X.2014.02.02

Table 1. KNUH breast reconstruction satisfaction questionnaire.

Question Very satisfied Very dissatisfied
Q1. Overall satisfaction with my breast reconstruction 5 4 3 2 1
Q2. Symmetry of my breasts 5 4 3 2 1
Q3. Size of my reconstructed breast 5 4 3 2 1
Q4. Shape of my reconstructed breast 5 4 3 2 1
Q5. Feel to touch my reconstructed breast 5 4 3 2 1
Q6. Pain in my reconstructed breast 5 4 3 2 1
Q7. Scar of my reconstructed breast 5 4 3 2 1
Q8. Donor site pain 5 4 3 2 1
Q9. Donor site scar 5 4 3 2 1
Q10. Self-confidence 5 4 3 2 1
Q11. Sexual attractiveness 5 4 3 2 1