Mesh Survey

Q1. Are you: *

Q2. What age group do you fall into? *

Q3. Please tell us why mesh was implanted into your body, eg, Stress Incontinence, Hernia, Prolapse (max 150 words) *

Q4. How long ago was your mesh implanted? (Please tick all that apply) *

Q5. How many mesh implant operations have you had? *

Q6. Have you had mesh surgery for more than one medical problem? *

Q7. Have you had mesh removal surgery? *

Q8. As a direct result of mesh related problems, do you believe your mental health has deteriorated? *

Q9. As a direct result of mesh related problems, do you suffer from: (please tick all that apply) *

Q10. Are you on anti-depressant tablets? *

Q11. Are you taking sleeping tablets? *

Q12. Are you taking painkillers? *

Q13. Have you been referred for counselling by your GP? *

Q14. Have you engaged in acts of self harm as a direct result of mesh related problems? *

Q15. Have you attempted to end your life by suicide as a direct result of mesh related problems? *

Q16. Have you had thoughts of ending your life by suicide as a direct result of mesh related problems? *

Q17. Do you have thoughts of self harming, directly because of mesh related problems? *

Q18. Do you suffer physical impairments as a direct result of mesh implant surgery? *

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If you want to talk, we want to listen