Fill this survey to help us assessing your concerns Question Title * 1. Please choose one, or more, of the following that best describes your issue with vaginal and sexual health (Required.) Pain during intercourse or loss of sexual pleasure Urinary Incontinence vaginal dryness Changes in the appearance or color Chronic unusual bleeding or discharge Loss of Sexual Pleasure Not Able to reach Orgasm Please use this box if you chose "Other" or if you wish to explain your condition in more details OK Question Title * 2. When did start noticing these symptoms (Required.) After Chemotherapy? After hysterectomy After giving birth After menopause Other (please specify) OK Question Title * 3. How long have you had these symptoms for? (Required.) Less than one year between one to two years More than two years OK Question Title * 4. Have you been diagnosed with bladder prolapse? (Required.) No Yes OK Question Title * 5. Have you tried any of the of the following treatments (Required.) Hormone Replacement Therapy Tablets Vaginal Creams Education and behavioral interventions No treatment at all Other (please specify) OK Question Title * 6. Have you heard about Vaginal Laser treatment? (Required.) Yes No OK Question Title * 7. what is your personal perception of Vaginal Laser treatment safety and efficacy? (Required.) Safe and Effective Safe but not effective Effective but not safe Not safe and not effective I have no info at all OK Question Title * 8. Please rate the impact of these vaginal symptoms on your life in general (Required.) insignificant Moderate devastating Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 9. please provide your contact information, so we can arrange your consultation First Name Last name Email Address Phone Number OK Question Title * 10. How do you like us to contact you Phone call email address Text message OK DONE