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TOPS - Scoliosis & Pregnancy Survey
This short survey is to explore whether the choice to have children or not is affected by having scoliosis or spinal fusion?
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1. Do you have scoliosis or a spinal fusion?
Yes, scoliosis
Yes, scoliosis and spinal fusion
No
Clear selection
2a. If you had spinal fusion surgery, how old were you?
Your answer
2b. If fused, what direction, degree and level? (specific or general guess of what shape and the direction of your curve(s), and what vertebrae are involved)
Your answer
3. If you had children, at what age did you have children, and how many?
Your answer
4a. If you did *not* have children, do you feel that having scoliosis or spinal fusion was part of the reason?
Yes
No
Clear selection
4b. If yes, what percent of your decision would you say was due to your scoliosis or spinal fusion?
Choose
0-10%
10-20%
20-30%
30-40%
40-50%
50-60%
60-70%
70-80%
80-90%
90-100%
5. If you gave birth, please indicate procedure:
Natural
Cesarean
Other
Clear selection
If you selected "other" above, please explain:
Your answer
Optional: Please feel free to elaborate on any of the above. And THANK YOU! Your responses are anonymous and appreciated.
Your answer
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