Abdominoplasty (Tummy Tuck) Pre-Op QPROM

Thank you for choosing Kinvara Private Hospital for your tummy tuck. Please complete this short questionnaire (known as a Quality Patient-Reported Outcome Measure – QPROM).

The questionnaire should only be completed by patients who are due to have tummy tuck and will only take a few minutes.

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Name
Date of birth

With your Abdomen in mind, in the past week, how dissatisfied or satisfied have you been with:

1. How your clothes fit your abdomen?
2. The size of your abdomen?
3. How your abdomen looks from the side (ie side profile)?
4. The shape of your abdomen?
5. How your abdomen looks in a swimsuit?
6. How toned your abdomen looks?
7. How your abdomen looks when you are naked?