ASGE Value of Colonoscopy - The Cancer Prevention Screening Test

Colonoscopy Testimonial Form

Is this your first colonoscopy?

Yes

Why did you chose to have your colonoscopy even during the pandemic?

Were you concerned about having your colonoscopy done during the pandemic? How did you feel after?

How satisfied were you with the safety protocols in place during your colonoscopy?

What would you say to motivate a family member or neighbor to come in for his/her colonoscopy?

Will you be willing to share your name?

Yes

If you answered yes to the question above, please enter your name below.

Name

Will you be willing for us to contact you for a testimonial to urge the public not to delay colonoscopy even during the pandemic?

Yes

If you answered yes to the question above, please enter your email address below.