Poster survey

1. Default Section

 
1. Which of the following best describes your profession?
2. Where are you located? (Please check all that apply.)
UrbanSuburbanRural
Large academic medical center
Community hospital/outpatient clinic
Private practice
3. What percent of your cancer patients are in their reproductive years (0-45)?
4. With what percent of these patients do you discuss cancer-related fertility risks?
5. Would you be willing to hang a poster about cancer-related infertility in your office or waiting room?
6. Which of the following options for poster content would be most useful to your colleagues?
Please rank the options below with 1 being the most useful and 4 being the least useful.
1 (most useful)234 (least useful)
When and how to discuss fertility preservation with your patients
Instructions on how to refer a patient to a fertility center or sperm bank
Information on fertility risks from cancer treatment
Chart on fertility preservation and parenthood after cancer options
7. Which of the following options for poster content would be most useful to your patients?
Please rank the options below with 1 being most useful and 3 being least useful.
1 (most useful)23 (least useful)
Information on fertility risks from cancer treatment
Chart on fertility preservation and parenthood after cancer options
Questions to ask your doctor about cancer and fertility
8. Who would be the best contact person at your center for distributing a poster about cancer and fertility?
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