Age:
Gender:
Gender of doc:
Who was there at the exam?
[ ] Mom
[ ] Dad
[ ] Sister (older or younger?)
[ ] Brother (older or younger?)
[ ] Nurse
Boys:
What clothes were you in?
[ ] Full clothes
[ ] Underwear
[ ] Naked
[ ] Gown
[ ] Other
If multiple were checked, at what part of the exam were you in those clothes or naked?
Genital exam, what was examined?
[ ] Penis
[ ] Testicles
[ ] Anus/Rectum
[ ] Pubic hair
[ ] Other
Also, how did the doc examine these things? What did he/she do?
What position were you in?
[ ] Laying on back
[ ] Sitting
[ ] Standing
[ ] Other
Did the doc require a pee sample? If so, how and where was it given? Was anyone there?
Did you get an erection? If so, at what part of the exam did the erection start and at what part did it stop? What did the doc say/do?
Did the doc require a semen sample? If so, where was it given? Was anyone there?
Did the doc ask any questions? If so, what?
Did you ask any questions? If so, what?
Was your foreskin retracted (if uncut)? Is so, who retracted it?
Were you embarrassed?
Did anything else happen that was not mentioned above?
Girls:
What clothes did you wear?
[ ] Full clothes
[ ] Bra and panties
[ ] Just bra
[ ] just panties
[ ] gown
[ ] naked
If multiple were checked, at what part of the exam were you in these clothes pr naked?
Genital/breat exam, what was examined?
[ ] Brests
[ ] Vagina
[ ] Anus/rectum
[ ] pubic hair
[ ] Other
Also, how did the doc examine these things? What did he/she do?
What position were you in?
[ ] Laying on back
[ ] Sitting
[ ] Standing
[ ] Frog leg
[ ] Other
Did the doc require a pee sample? If so, how and where was it given? Was anyone there?
Were you wet? If so, at what part? Did anyone notice?
Did the doc ask any questions? If so, what?
Did you ask any questions? If so, what?
Were you embarrassed?
Did anything else happen that was not mentioned above?
Thanks everyone!
Gender:
Gender of doc:
Who was there at the exam?
[ ] Mom
[ ] Dad
[ ] Sister (older or younger?)
[ ] Brother (older or younger?)
[ ] Nurse
Boys:
What clothes were you in?
[ ] Full clothes
[ ] Underwear
[ ] Naked
[ ] Gown
[ ] Other
If multiple were checked, at what part of the exam were you in those clothes or naked?
Genital exam, what was examined?
[ ] Penis
[ ] Testicles
[ ] Anus/Rectum
[ ] Pubic hair
[ ] Other
Also, how did the doc examine these things? What did he/she do?
What position were you in?
[ ] Laying on back
[ ] Sitting
[ ] Standing
[ ] Other
Did the doc require a pee sample? If so, how and where was it given? Was anyone there?
Did you get an erection? If so, at what part of the exam did the erection start and at what part did it stop? What did the doc say/do?
Did the doc require a semen sample? If so, where was it given? Was anyone there?
Did the doc ask any questions? If so, what?
Did you ask any questions? If so, what?
Was your foreskin retracted (if uncut)? Is so, who retracted it?
Were you embarrassed?
Did anything else happen that was not mentioned above?
Girls:
What clothes did you wear?
[ ] Full clothes
[ ] Bra and panties
[ ] Just bra
[ ] just panties
[ ] gown
[ ] naked
If multiple were checked, at what part of the exam were you in these clothes pr naked?
Genital/breat exam, what was examined?
[ ] Brests
[ ] Vagina
[ ] Anus/rectum
[ ] pubic hair
[ ] Other
Also, how did the doc examine these things? What did he/she do?
What position were you in?
[ ] Laying on back
[ ] Sitting
[ ] Standing
[ ] Frog leg
[ ] Other
Did the doc require a pee sample? If so, how and where was it given? Was anyone there?
Were you wet? If so, at what part? Did anyone notice?
Did the doc ask any questions? If so, what?
Did you ask any questions? If so, what?
Were you embarrassed?
Did anything else happen that was not mentioned above?
Thanks everyone!