Your Details

 

Whilst you can decide to undertake this questionnaire anonymously, it would greatly help our records if you could give us your details.
This will allow us to track your post operative recovery with how your operation went.
It also enables us to follow you up in respect to any issues that you have highlighted during this questionnaire, and stop us from wrongly chasing you again to complete this survey!

Question Title

1. What is your name, and when (roughly) did you have your Vasectomy?

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