Women's Health Survey
Community Living London is working with the Community Engaged Learning Program from the University of Western Ontario to develop educational resources for the people we support about women’s reproductive health throughout their life time.  This resource will include topics such as menopause, perimenopause, birth control, menstrual health etc.  The goal of this project is to create resources to assist women to learn and understand the cycle of their reproductive health.

In order to develop this resource, we are gathering information from women supported, their families and care providers.  We appreciate you taking the time to complete this quick survey.

Please note participation in completion of this survey is voluntary.

All information gathered from this survey will be used by Community Living London only and not include any personal identifying information, nor will any of the findings will be published.
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1. Where are you located?
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2. What best describes your relationship with women with developmental disabilities? 
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3. What age groups of women do you currently support? (Please select all that apply)
4. Do you believe the Canadian Health Care system meets the needs of those aging with a developmental disability?
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5. To what extent do you agree with the following statement: There are sufficient resources available to inform women with developmental disabilities about the changes that they might expect to see in their bodies as they age (i.e. menopause, grey hair, reduced mobility)?
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6. To what extent do you agree with the following statement:  There are sufficient resources available to inform women with developmental disabilities about preventative and diagnostic medical tests (i.e. mammograms, pap test, etc.)
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7. What topics would you like to see covered in the resource (body changes and preventative tests)?
8. What communication styles do you think would benefit the women you assist? (Please select all that apply)
9. Do you feel like you are adequately prepared to help the women you support understand their health as they age? Why or why not?
10. Is educating women with developmental disabilities about their health milestones when aging something you think about/worry about often?
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11. What topics do you find most difficult to discuss/inform aging women about? Why?
12. Any comments, concerns, questions?
Thank you for taking the time to fill out this survey!
If you are interested in answering follow up questions about this topic please provide your name and contact information (phone number or email).
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