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| Questions regarding the time before and during pregnancy | Possible answers |
| (1) I lost urine involuntary/against my will | Never ☐ Sometimes ☐ Daily ☐ |
| (2) I lost stool involuntary/against my will | Never ☐ Sometimes ☐ Daily ☐ |
| (3) I lost gas involuntary/against my will | Never ☐ Sometimes ☐ Daily ☐ |
| (4) I had burning/painful sensations during defecation | Never ☐ Sometimes ☐ Always ☐ |
| (5) I had burning/painful sensations during sexual intercourse | Never ☐ Sometimes ☐ Always ☐ |
| (6) I had a feeling of discomfort/foreign body in the vagina | Never ☐ Sometimes ☐ Daily ☐ |
| (7) I had the feeling of something squeezing downwards into the vagina | Never ☐ Sometimes ☐ Daily ☐ |
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| Questions regarding the time after birth | Possible answers |
| (8) I lost urine involuntary/against my will | Yes ☐ No ☐ |
| (9) Compared to the time before childbirth, I lost urine involuntary/against my will | Less often 1 2 3 4 5 6 7 more often |
| (10) I lost stool involuntary/against my will | Yes ☐ No ☐ |
| (11) Compared to the time before childbirth, I lost stool involuntary/against my will | Less often 1 2 3 4 5 6 7 more often |
| (12) I lost gas involuntary/against my will | Yes ☐ No ☐ |
| (13) Compared to the time before childbirth, I lost bowel gas involuntary/against my will | Less often 1 2 3 4 5 6 7 more often |
| (14) I have a feeling of discomfort/foreign body in the vagina | Yes ☐ No ☐ |
| (15) Compared to the time before childbirth, I have a feeling of discomfort/foreign body in the vagina | Less often 1 2 3 4 5 6 7 more often |
| (16) I have the feeling of something squeezing downwards into the vagina | Yes ☐ No ☐ |
| (17) Compared to the time before childbirth, I have the feeling of something squeezing downwards into the vagina | Less often 1 2 3 4 5 6 7 more often |
| (18) Compared to the time before childbirth, I have the feeling that my vaginal opening is | Tighter/closer 1 2 3 4 5 6 7 wider |
| (19) Compared to the time before childbirth, I have the feeling that my pelvic floor is | Weaker 1 2 3 4 5 6 7 stronger |
| (20) I do pelvic floor exercise | Yes ☐ No ☐ |
| (21) Compared to the time before delivery, I do pelvic floor exercise | Less frequently 1 2 3 4 5 6 7 more frequently |
| (22) I already had sexual intercourse after delivery | Yes ☐ No ☐ |
| (23) Compared to the time before delivery, my vagina is | Drier 1 2 3 4 5 6 7 wetter |
| (24) Sexual intercourse is painful | Yes ☐ No ☐ |
| (25) Compared to the time before delivery, sexual intercourse is painful | Less frequently 1 2 3 4 5 6 7 more frequently |
| (26) Compared to the time before delivery, my orgasm capability is | Worse 1 2 3 4 5 6 7 better |
| (27) Compared to the time before delivery, my sensation in the vagina during sexual intercourse is | Reduced 1 2 3 4 5 6 7 increased |
| (28) Compared to the time before delivery, my satisfaction with sexual intercourse is | Reduced 1 2 3 4 5 6 7 increased |
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