Recommend

Please only fill out this questionnaire if you have a recommendation for a gynecologist, Midwife or general practitioner working in gynecology (summarized in the questionnaire as "treating person" called). You can of course limit this, because no treating person is perfect. In addition, please only answer questions that you can answer based on your own treatment experience! If parts of the questionnaire do not apply for you or you or you don't want to answer them, you can always leave out answers.

Apart from your answers, we do not store any personal data. However, when filling in the form, be aware that we will use individual parts of your answers & comments and they may be published anonymously in our directory along with your recommendation. If you don't want that point this out to us in the comments box at the very end of the questionnaire.

Thanks for your contribution to this project!

If you are a human, ignore this field

About the treating person

Ich möchte folgende behandelnde Person empfehlen.

First name

Last name

Street

Zip Code

City

State

Website

Phone

Profession/Specialization

In this practice, persons with the following insurance status are treated

statutory

private

I don't know

In which language did you communicate with the treating person/the practice staff?

How was the personal or telephone contact with the practice staff (e.g. were you treated with respect, were your self-chosen pronouns used, was the examination / anamnesis form formulated gender-neutral, ...)?

Kannst du sicher sagen, welche räumlichen Zugänge zur Praxis es gibt und welche Kommunikationsformen angeboten werden? Es können mehrere Antworten ausgewählt werden. Erläuterungen und Ergänzungen sind unten möglich.

Zugänglich für Rollstuhlnutzer*innen

Orientierungshilfen für blinde/sehbehinderte Menschen

Kommunikation in DGS (deutsche Gebärdensprache)

Kommunikation in leichter Sprache ⓘ

Terminvereinbarung online

Terminvereinbarung telefonisch

Webseite mit Screenreader nutzbar

Can you tell for sure if and how the access to the practice is barrier-free (e.g. ramps, elevator, orientation for visually impaired people, online appointment, ...)?

Wie oft warst du bei der Person in Behandlung?

Treatment methods

Other and explanatory notes:

Has the practitioner denied you a specific treatment or examination (without adequate medical justification) that you have explicitly asked (for example, because you are childless, homosexual, too young / too old, ...)?

Did you receive competent advisory regarding the financing of treatments (eg abortion, desire to have a baby, contraception, ...) from the treating person? Yes No Not applicable

Did you pay for certain services? If so, for what and what amount?

Respectful treatment

Do you have the impression that the person treating you listened to you attentively, did you feel safe and comfortable in the conversation and were you able to address your questions and problems without shame? Yes No

Comment

Has the treating person asked you for your consent before physically examining you and explained what they are doing? Yes No

Comment

Did the person taking care take the time to explain your examinations and diagnoses in an understandable manner? Yes No

Comment

Has the treating person offered you

Perform examinations yourself (breast scan, take swab, hold instruments, ...)

To perform the examination in the lateral position (instead of in the gynecological chair)

To stay partially clothed during the examination

Were you treated respectfully? - Respectful means for us that the person treating you takes your fears / insecurities seriously, does not touch you roughly, does not treat you in a border-crossing way and you do not have to strip completely naked or something similar'. Yes No

Comment

Has the treating person ever made any discriminatory or moralizing/judging remarks to you? Yes No

Comment

Is there anything else you want to add/emphasize? Please keep it short.

Submit recommendation

If you can recommend the person treating you to one of the following groups of people, please indicate this here. Make statements only if you feel yourself belonging to this group. Multiple answers possible. You remain anonymous.

This selection is incomplete and includes characteristics that can lead to specific forms of discrimination in gynecological treatment. If you are missing something, please let us know in the comment box below.

Other:

If you want to limit your recommendation, you can do so here:

Feedback

Are there specific topics or questions that you missed in our questionnaire? Or are there any phrases that you found to be inappropriate or technically incorrect?