Post Vasectomy Questionnaire

We are conducting a survey on the vasectomy service we run, and ask if you would be interested in completing this questionnaire. Participation is entirely voluntary and you may refuse to take part, without giving a reason. This will not affect any future care or relationship with staff.

All data collected will be completely anonymous and confidential and therefore please do not write your name on this questionnaire.

Post Vasectomy Questionnaire

Patient Details

Please use date format DD/MM/YYYY


Thank you very much for your answers, which will help us improve the service.

Dr Mark Watson

If you have any queries in connection with this questionnaire, please contact me on 01392 676648.