|
10 - How much does the fistula repair limit your ability to perform sports?
|
|
() Not at all |
| () A little |
| () Limited |
| () Very limited |
|
11. Would you have the same surgery performed again, if required?
|
|
() Yes |
| () No |
|
12 - How did the fistula repair change your quality of life?
|
|
() Severely improved |
| () Improved |
| () Unchanged |
| () Reduced |
| () Severely reduced |
|
13 - How satisfied are you with the surgery?
|
|
() Very satisfied |
| () Satisfied |
| () Undecided |
| () Dissatisfied |
| () Very dissatisfied |
|
14 - If you are dissatisfied or very dissatisfied with the surgery - why?
|
|
() Fistula recurrence |
| () No fistula recurrence but different problem |
| () Fistula recurrence and different problem |
|
15. Which different problems did occur?
|
| ________________________________ |
| ________________________________ |