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Consideration
Of your personal preferences
Below you can indicate what is important in your life. For example, your family, your work or your hobbies. This will help your doctor learn more about you and help him or her think along with you.
The following things are important in my life:
I am most concerned about:
Do you fully understand which surgeries you can choose for?
Yes
No
Please read through the information again and/or write down below what is not clear (you can then discuss this with your doctor later):
Is it clear which benefits and downsides of the two surgeries are most important to you?
Yes
No
Please discuss your considerations again with your loved ones and/or your doctor. You can write down which benefits and downsides you would like to know more about below.
Did you get enough support and advice to make a choice?
Yes
No
Please discuss your considerations again with your loved ones and/or your doctor. You can write down what you need to be able to make a choice.
My choice
You have gone through the decision aid. Which treatment do you prefer at this moment?
Removal of fallopian tubes and ovaries at the same time
Remove fallopian tubes first and remove ovaries later
No surgery
How certain are you about the above choice?
Not sure
Quite sure
Sure
Very sure
What grade would you give the decision aid?
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