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Pelvic Mesh Questionnaire

Thank you for participating in our pelvic mesh class action investigation.

This questionnaire will take about 30 minutes to complete.

Unfortunately, the questionnaire cannot be saved as partially complete and returned to for completion at a later date. To avoid the loss of data, you will need to complete the questionnaire in one sitting.

Alternatively, if you would prefer to complete the questionnaire in hard copy please email us at pelvicmesh@slatergordon.com.au to request a copy to be sent to you by email. 

To complete the survey in one sitting, it will be easier if you have all your medical information and treatment details to hand.   Therefore we encourage you to gather the following information before you commence the questionnaire: 

  1. Names and contact information for all your treating doctors (general practitioners, specialists, allied health professionals such as physiotherapists, psychologists, etc)
  2. Dates of your initial contact with doctors regarding your pelvic organ condition
  3. The nature of your diagnosis (for example, type of prolapse)
  4. Date or dates and location(s) of any of your surgeries
  5. Details of any documents you received explaining the surgery and/or the mesh product
  6. Your employment details  (if applicable)
  7. Your annual income, or estimate,  based on the last full year worked (if applicable) 

Whilst it is not necessary to answer all the questions before you submit the questionnaire, providing as much information as possible will enable us to properly assess your claim.

Once again, thank you for your participation. 


Mailing Address

Background medical information

Prolapse

Did you consult any other health professionals or doctors for non-surgical treatment of your prolapse (such as physiotherapists or gynaecologists)? If so, please provide the name for each health professional below, up to 3 and state what role they played in your treatment

Other medical conditions

Prolapse Surgery

Copy of the documents

We would be grateful if you could email us a scanned copy of the documents you have or send a photocopy to us by post. If sending by post, please state clearly your name and return mailing address

Email address: pelvic-mesh@slatergordon.com.au

Mailing Address: Attn Pelvic Mesh Class Action

Slater and Gordon Lawyers

485 La Trobe Street

Melbourne VIC 3000

Outcome of the surgery

Changes to your lifestyle

Changes to employment

Please note that strict time limits apply to bringing a claim for compensation for injuries associated with the alleged negligence of another party, such that if you do not commence Court proceedings within the time allowed, you will be unable to seek compensation for those injuries.

The exact time limit that applies to your potential claim will depend on your individual circumstances, such as when and in which state or territory the injury occurred.

In some jurisdictions the time limits are as short as three years from the date of the surgery. If the date you had your first surgery to treat your prolapse means that you may be nearing the expiration of this three-year period, or that it may have already passed, you should seek legal advice urgently if you are considering pursuing any claim for compensation.

We are not in a position to provide individualised legal advice at this stage to registrants in our potential class action proceeding and please be aware that your registration in our class action investigation does not stop time running for any potential claim that you may have against a wrongdoer.

Further comments