Skip to content
Home
Patient Information
My Physical Health
My Mental Health
Other Health Conditions
Follow-up Care
Support Resources
Common Questions from Patients
Survivorship Care Plans
Clinical Team
Survivorship Care Information
Guidelines and Protocols
Educational Resources
Patient Management Tools
Common Questions from the Healthcare Team
Events
Menu
Home
Patient Information
My Physical Health
My Mental Health
Other Health Conditions
Follow-up Care
Support Resources
Common Questions from Patients
Survivorship Care Plans
Clinical Team
Survivorship Care Information
Guidelines and Protocols
Educational Resources
Patient Management Tools
Common Questions from the Healthcare Team
Events
Survey
Survey A
Demographic/User Information
Diagnosis
Age
21-31
32-42
43-53
54-64
65 and over
Gender
Male
Female
Email
Sources of Information
What sources of survivorship care information have you accessed? (Select all that apply)
Healthcare providers
Printed materials (brochures, books)
Online resources (websites, forums)
Support groups
Family and friends
None
Other
Survivorship Care Knowledge
How would you rate your current knowledge of survivorship care?
Very Poor
Poor
Fair
Good
Very Good
Usage of the Survivorship Website
How familiar are you with the following aspects of survivorship care?
Follow-up care:
Not at all familiar
Slightly familiar
Moderately familiar
Very familiar
Extremely familiar
Managing side effects:
Not at all familiar
Slightly familiar
Moderately familiar
Very familiar
Extremely familiar
Healthy lifestyle choices:
Not at all familiar
Slightly familiar
Moderately familiar
Very familiar
Extremely familiar
Submit Survey
