Online Survey

Making the Choice: Deciding What to Do About Early Stage Prostate Cancer Evaluation Survey

Please tell us what you think about the information on this website.

Your privacy is important to us. All information provided on this questionnaire will be kept confidential. No identifying information will be linked with your responses. Your answers will improve this website, and we are very grateful for your help.

1) Did this website help you get the information that you needed?
	Yes No

2) Did this website help you understand a prostate cancer diagnosis?
	Yes No

3) Did this website help you make treatment decisions?
	Yes No

4) Did this website help you communicate with your health care provider?
	Yes No

5) Did this website help you find more information or support in your community?
	Yes No

6) This website was:
	Easy to understand A little difficult to understand Very difficult to understand

7) Finding the information I wanted on this website was:
	Easy A little difficult Very difficult

8) This website should be:
	Continued Revised Discontinued

9) If you checked revised or discontinued above, how should it be revised or why should it be discontinued?

10) The amount of information was:
	Too little Just the right amount Too much

11) More information should be given about:

12) Less information should be given about:

13) Would you recommend this website to another person?
	Yes No

14) I am (Check all that apply):
	A prostate cancer patient A health professional A family member or friend Other - Please Specify:

15) What is your age?
	Less than 40 41 - 50 51 - 60 61 - 70 More than 70

16) Are you Hispanic or Latino?
	Yes No

17) What is your race? (Select all that apply)
	White or Caucasian Black or African-American American Indian or Alaska Native Asian or Asian-American Pacific Islander or Native Hawaiian Other - Please Specify:

18) How did you find out about this internet site?
	From a doctor, nurse, or other health professional From the Making the Choice: Deciding What to Do About Early Stage Prostate Cancer booklet or audio set From the Michigan Cancer Consortium website From a family member or friend A search engine like Google or Yahoo took me there From a hospital website Other - Please Specify:

19) Comments

Washington Square Building, 5th Floor · 109 Michigan Ave. · Lansing, Michigan USA 48913
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