The goal of this randomized clinical trial is to learn if participants are better able to understand medical handouts written at below a sixth grade reading level compared to those written at above a sixth grade reading level. The main question it aims to answer is:

• Do participants score higher on a knowledge test after reading a handout written at below a sixth grade reading level compared to after reading a handout written at above a sixth grade reading level?

Researchers will compare knowledge scores on pelvic organ prolapse after participants read a handout written at an eight grade reading level compared to the same handout re-written to be at a fifth grade reading level.

Participants will:

• Read a one page handout (written at either above or below a sixth grade reading level) on pelvic organ prolapse
• Complete a one page multiple-choice test on pelvic organ prolapse

The secondary objective is to determine characteristics of patients whose knowledge levels are higher after reading educational material written below a sixth grade reading level compared to material written above a sixth grade reading level.

Inclusion Criteria:

• Must be able to complete pen and paper questionnaire

Exclusion Criteria:

• Unable to understand or read English

Deidentified individual data that supports the results will be shared beginning 12 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.

beginning 12 months following publication until 36 months following publication.

Investigator has approved IRB, IEC, or REB and an executed data use/sharing agreement with UNC.