Ulcerative Colitis

1. Do you have Ulcerative Colitis?

Yes

No

2. Are you male or female?

Male

Female

3. How long have you had Ulcerative Colitis?

4. Do you feel as if Ulcerative Colitis has negatively impacted on your emotional wellbeing? If so, how?

5. Do you attend support networks to help cope with the disease?

Yes

No

6. If so, do you find the support network useful?

7. Would you recommend the support network to other individuals that have been diagnosed with Ulcerative Colitis?

Yes

No

8. What are your thoughts on needing to take medication daily?

9. What is the hardest thing about having Ulcerative Colitis?

10. What symptoms affect you the most?

11. Do you have reoccurring flare-ups when you are faced with a lot of stress?

Yes

No

12. Do you feel embarrassed to have Ulcerative Colitis?

Yes

No