Female Questionnaire
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PAST SURGERIES

This section deals with specific surgeries that you have had.  Any types of surgery not mentioned here can be listed on the final page of this questionnaire, which is coming up soon.  Note that gallbladder surgery is covered elsewhere.

Q930

Have you had any form of transplant surgery?
  • No / don't know
  • Yes, 3 or more years ago
  • Yes, less than 3 years ago

Q931

Have you had a Tonsillectomy and/or Adenoidectomy, a procedure in which the tonsils and/or adenoids are removed?
  • No / don't know
  • Yes, tonsils OR adenoids, before age 20
  • Yes, tonsils AND adenoids, before age 20
  • Yes, tonsils OR adenoids, after age 20
  • Yes, tonsils AND adenoids, after age 20

Q932

Have you had an Appendectomy, a procedure in which the appendix is removed?
  • Don't know
  • No
  • Yes, before age 10
  • Yes, before age 20
  • Yes, after age 20

Q933

Have you had a Splenectomy, a procedure in which the spleen is removed?
  • Don't know
  • No
  • Yes, to treat a separate medical condition
  • Yes, because it was damaged by injury
  • Yes, because of malignancy

Q934

Have you undergone any form of weight loss surgery (Bariatric Surgery)?
  • No / don't know
  • Adjustable gastric banding
  • Gastric bypass surgery
  • Biliopancreatic diversion with/out duodenal switch
  • Sleeve gastrectomy

Q935

Have you had a Small Bowel Resection, a procedure in which a section of the small intestine is removed?
  • No
  • Don't know
  • Less than 50cm (20 inches)
  • More than 50cm (20 inches)

Q936

Have you had a Colectomy, a procedure in which all or part of the colon is removed?
  • Don't know
  • No
  • Yes, a partial colectomy
  • Yes, a total colectomy

Q937

Have you had a Mastectomy, a procedure in which tissue is removed from one or both breasts in order to prevent or treat Breast Cancer?
  • Don't know
  • No
  • Yes, a unilateral mastectomy (one breast removed)
  • Yes, a bilateral mastectomy (both breasts removed)

Q938

Have you had a Hysterectomy, a procedure in which the uterus and possibly the cervix and ovaries are removed?
  • No / don't know
  • Partial/subtotal, no ovaries removed/cervix intact
  • Total / radical, no ovaries removed
  • Hysterectomy with one ovary removed
  • Hysterectomy with both ovaries removed
Report by The Analyst™
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