Twenty patients were interviewed shortly after colonoscopy, and the ad
jectives and phrases they used to describe the experience were formed
into a 31-item questionnaire, on which each item was rated using a sev
en-point scale. This questionnaire was completed by 110 similar patien
ts. Principal components analysis of these responses yielded three com
ponents: satisfaction, physical discomfort, and emotional distress. Th
is demonstrates that patients' experience of colonoscopy is multi-dime
nsional; whether or not a patient feels satisfied is unrelated to how
distressing or uncomfortable it is. Component-based scale scores were
calculated so as to quantify every patient's experience on each dimens
ion. Procedures performed by the most experienced endoscopist were no
less uncomfortable than others, but they were less distressing. Female
patients experienced more discomfort than males, but were no more dis
tressed or less satisfied. This questionnaire could be useful in any f
uture audit of colonoscopy from the patients' point of view.