Get Vulvar Symptom Questionnaire - Bdaseattlebbcomb

The Vulvar Symptom Questionnaire is an essential tool for providing healthcare professionals with insight into vulvar symptoms. Completing this questionnaire online will help in accurately assessing your condition and informing your treatment plan.

Follow the steps to effectively complete the Vulvar Symptom Questionnaire online.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred editor.
2. Begin filling in your patient name at the designated field to identify yourself.
3. Enter today’s date in the provided space to mark when you are submitting the questionnaire.
4. In the first question, provide a detailed reason for your visit today by writing as much information as applicable in the given space.
5. Indicate the age at which you first experienced vulvar symptoms, and compute how many years ago it was.
6. For the discomfort scale, rate your level of vulvar discomfort for today, on an average day, and during sexual touch using the scale from 0 to 10.
7. Identify and indicate the location of your symptoms by referring to the provided diagram if necessary.
8. Circle any relevant symptoms you are experiencing from the list provided, which includes options such as itching, pain, and bleeding.
9. Select how your symptoms are characterized: constant, intermittent, getting worse, or getting better.
10. Respond to whether anything alleviates your symptoms, and describe those factors in the space provided.
11. Indicate any factors that exacerbate your symptoms and provide descriptions as necessary.
12. Answer whether your symptoms limit your activities, such as sitting, practicing sports, or performing daily tasks.
13. Respond to dietary factors related to your symptoms and navigate through the questions related to bladder or pelvic pain along with urination issues.
14. Answer questions about your experience with tampons, speculum exams, lubrication needs during intercourse, and past yeast infections.
15. Complete sections pertaining to previous biopsies and any treatments you have tried, indicating if they were helpful.
16. In the last section, you will check any additional therapies you have attempted and describe any other symptoms that may be important for understanding your situation.
17. Once you have completed all fields, ensure to save your changes. You can choose to download, print, or share the completed form as needed.

Complete your Vulvar Symptom Questionnaire online today to assist in your healthcare evaluation.