Breast Q PAPName First Last Email What reconstructive procedure did you have?*DIEP flapPAP flapDIEP flap and PAP flapWith your breasts in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with:How you look in the mirror clothed?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied The shape of your reconstructed breast(s) when you are wearing a bra?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How normal you feel in your clothes?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied The size of your reconstructed breast(s)?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied Being able to wear clothing that is more fitted?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your breasts are lined up in relation to each other?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How comfortably your bras fit?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How comfortably your bras fit?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied The softness of your reconstructed breast(s)?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How equal in size your breasts are to each other?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How natural your reconstructed breast(s) looks?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How natural your reconstructed breast(s) sits/hangs?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your reconstructed breast(s) feels to touch?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How much your reconstructed breast(s) feels like a natural part of your body?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How closely matched your breasts are to each other?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your reconstructed breast(s) look now compared to before you had breast surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How you look in the mirror unclothed?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied We would like to know how you feel about the outcome of your breast reconstruction surgery. Please indicate how much you agree or disagree with each statement:Having reconstruction is much better than the alternative of having no breast(s)?* Disagree Somewhat Agree Definitely Agree I would encourage other women in my situation to have breast reconstruction surgery.* Disagree Somewhat Agree Definitely Agree I would do it again.* Disagree Somewhat Agree Definitely Agree I have no regrets about having the surgery.* Disagree Somewhat Agree Definitely Agree Having this surgery changed my life for the better.* Disagree Somewhat Agree Definitely Agree The outcome perfectly matched my expectations.* Disagree Somewhat Agree Definitely Agree It turned out exactly as I had planned.* Disagree Somewhat Agree Definitely Agree With your breasts in mind, in the past 2 weeks, how often have you felt:Confident in a social setting?* None of the time A little of the time Some of the time Most of the time All of the time Emotionally able to do things that you want to do?* None of the time A little of the time Some of the time Most of the time All of the time Emotionally healthy?* None of the time A little of the time Some of the time Most of the time All of the time Of equal worth to other women?* None of the time A little of the time Some of the time Most of the time All of the time Self-confident?* None of the time A little of the time Some of the time Most of the time All of the time Feminine in your clothes?* None of the time A little of the time Some of the time Most of the time All of the time Accepting of your body?* None of the time A little of the time Some of the time Most of the time All of the time Normal?* None of the time A little of the time Some of the time Most of the time All of the time Like other women?* None of the time A little of the time Some of the time Most of the time All of the time Attractive?* None of the time A little of the time Some of the time Most of the time All of the time Thinking of your sexuality, since your breast reconstruction, how often do you generally feel:Sexually attractive in your clothes?* None of the time A little of the time Some of the time Most of the time All of the time Comfortable/at ease during sexual activity?* None of the time A little of the time Some of the time Most of the time All of the time Confident sexually?* None of the time A little of the time Some of the time Most of the time All of the time Satisfied with your sex-life?* None of the time A little of the time Some of the time Most of the time All of the time Confident sexually about how your breast(s) look when unclothed?* None of the time A little of the time Some of the time Most of the time All of the time Sexually attractive when unclothed?* None of the time A little of the time Some of the time Most of the time All of the time In the past 2 weeks, how often have you experienced:Neck pain?* None of the time A little of the time Some of the time Most of the time All of the time Upper back pain?* None of the time A little of the time Some of the time Most of the time All of the time Shoulder pain?* None of the time A little of the time Some of the time Most of the time All of the time Arm pain?* None of the time A little of the time Some of the time Most of the time All of the time Rib pain?* None of the time A little of the time Some of the time Most of the time All of the time Pain in the muscle of your chest?* None of the time A little of the time Some of the time Most of the time All of the time Difficulty lifting or moving arms?* None of the time A little of the time Some of the time Most of the time All of the time Difficulty sleeping because of discomfort in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Tightness in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Pulling in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Nagging feeling in our breast area?* None of the time A little of the time Some of the time Most of the time All of the time Tenderness in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Sharp pains in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Shooting pains in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Aching feeling in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time Throbbing feeling in your breast area?* None of the time A little of the time Some of the time Most of the time All of the time In the past 2 weeks, with your abdomen (tummy area) in mind, how often have you experienced:Difficulty sitting up because of abdominal muscle weakness (e.g. getting out of bed)?* None of the time A little of the time Some of the time Most of the time All of the time Difficulty doing everyday activities because of abdominal muscle weakness (e.g. making your bed)?* None of the time A little of the time Some of the time Most of the time All of the time Abdominal discomfort?* None of the time A little of the time Some of the time Most of the time All of the time Abdominal bloating?* None of the time A little of the time Some of the time Most of the time All of the time Tightness in your abdomen?* None of the time A little of the time Some of the time Most of the time All of the time Pulling in your abdomen?* None of the time A little of the time Some of the time Most of the time All of the time Lower back pain?* None of the time A little of the time Some of the time Most of the time All of the time In the past 2 weeks, how satisfied or dissatisfied have you been with:How your abdomen looks?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied Your position of you navel (belly button)?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your abdominal scars look?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your abdomen feels now compared to before your surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your abdomen looks now compared to before your surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied In the past 2 weeks, with your thighs in mind, how often have you experienced:Difficulty climbing stairs due to thigh weakness or tightness?* None of the time A little of the time Some of the time Most of the time All of the time Difficulty doing everyday activities because of thigh weakness or tightness?* None of the time A little of the time Some of the time Most of the time All of the time Thigh numbness?* None of the time A little of the time Some of the time Most of the time All of the time Thigh discomfort?* None of the time A little of the time Some of the time Most of the time All of the time Tightness in your thighs?* None of the time A little of the time Some of the time Most of the time All of the time Pulling in your thighs?* None of the time A little of the time Some of the time Most of the time All of the time In the past 2 weeks, how satisfied or dissatisfied have you been with:How your thighs look?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your buttock looks?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your thigh scars look?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your thighs feel now compared to before your surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your thighs look now compared to before your surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How your buttock looks now compared to before your surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How satisfied or dissatisfied were you with the information you received from your plastic surgeon about:How the breast reconstructions surgery was to be done?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied Healing and recovery time?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied Possible Complications?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied The options you were given regarding types of breast reconstruction?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied The options you were given regarding timing of your breast reconstruction?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied The pros and cons of the timing of your breast reconstruction?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How long the process of breast reconstruction would take from start to finish?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied What size you could expect your breasts to be after reconstructive surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How much pain to expect during recovery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied What you could expect your breasts to look like after surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How long after reconstruction surgery it would take to feel like yourself/feel normal again?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied How the surgery could affect future breast cancer screening?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied Lack of sensation in your reconstructed breast and nipples?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied What other women experience with their breast reconstruction surgery?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied What the scars would look like?* Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Vey Satisfied These questions ask about your plastic surgeon. Did you feel that he:Δ