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Please complete the survey only if you are a Lewes Constituent and have been affected by the use of surgical mesh.

The information collected will be used to highlight to our MP, Maria Caulfield, what her constituents are suffering and to provide evidence should she take up the gauntlet!

Fiona House

 

*Required information.
Name *
1st Line of Address *
Postcode *
Email
Initial Problem referred with
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Proposed treatment and warnings
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After procedure how long before you realised there was a problem and how did it manifest??
What was initial diagnosis of post-op problems?
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What are your symptoms now?
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How has this affected your life-Family-Work-Social?
Are you happy for the above information to be shared with relevant parties to further the cause? *
Would you prefer for your surname and address line to be redacted?