Pints for Prostates
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1. Help to Improve the Pints for Prostates Campaign
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1
. How did you learn about the Pints for Prostates campaign?
How did you learn about the Pints for Prostates campaign?
I was invited to join the Pints for Prostates Facebook page.
I read about it in the Us TOO International newsletter/website.
I read news story about it in a magazine or newspaper.
I saw a magazine ad for Pints for Prostates.
I attended a Pints for Prostates event.
I saw it on CNN or another broadcast news program.
I saw an ad on a website.
A friend told me about the group.
I found the group's website.
I saw it on Twitter.
Other (please specify)
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2
. Why are you interested in fighting prostate cancer?
Why are you interested in fighting prostate cancer?
I'm a man.
I'm a prostate cancer survivor.
I know someone who has had prostate cancer.
Someone in my family was diagnosed with prostate cancer.
Cancer runs in my family.
I think prostate cancer deserves more attention.
People need more information about prostate cancer.
I'm really not that interested in prostate cancer.
N/A.
Other (please specify)
3
. Tell us which of these statements you believe are true (you may check more than one box):
Tell us which of these statements you believe are true (you may check more than one box):
African American men run a higher risk of developing prostate cancer.
Surgery is the only option for a man with prostate cancer.
One in six American men will be diagnosed with prostate cancer.
There is no need to get a prostate specific antigen (PSA) blood test until a man turns 60.
Men with two male relatives that have had prostate cancer have a 92% chance of developing the disease.
Approximately 28,000 U.S. men a year die from prostate cancer.
The side effects of prostate cancer surgery are worse than the disease.
Men should get an annual prostate health screening starting at age 40.
Men really don't need to worry about prostate cancer because you are likely to die with prostate cancer, not from the disease.
Government funding for prostate cancer research is higher than funding for breast cancer research.
Detected in its early stages, prostate cancer is nearly 100% survivable.
Prostate cancer in men is as common as breast cancer in women.
4
. On a scale of 1-5, how likely would your preference for a beer brand be influenced by the fact they support the Pints for Prostates campaign?
On a scale of 1-5, how likely would your preference for a beer brand be influenced by the fact they support the Pints for Prostates campaign?
1 - It would have no influence
2 - Not very much
3 - Some, depending on the brand
4 - It would have a moderate amount of influence on me
5 - A great deal
5
. On a scale of 1-5, please tell us about how you feel about the following statements:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
It's a good idea for Pints for Prostates to bring its message about regular screenings and PSA testing to beer festivals and taverns.
On a scale of 1-5, please tell us about how you feel about the following statements: It's a good idea for Pints for Prostates to bring its message about regular screenings and PSA testing to beer festivals and taverns. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
It's OK to use a product like beer to reach men with an important health message.
It's OK to use a product like beer to reach men with an important health message. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Men would rather avoid any discussion of prostate cancer.
Men would rather avoid any discussion of prostate cancer. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor.
Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Brewers should support prostate cancer education and research by using the blue ribbon on bottles and cans like companies use the pink ribbon to support the fight against breast cancer.
Brewers should support prostate cancer education and research by using the blue ribbon on bottles and cans like companies use the pink ribbon to support the fight against breast cancer. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Most men already know enough about prostate cancer to protect themselves.
Most men already know enough about prostate cancer to protect themselves. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
We are doing enough in this country to fight prostate cancer.
We are doing enough in this country to fight prostate cancer. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40.
Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago.
The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago. Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
6
. If a Pints for Prostates event was held in your town how likely are you to attend?
If a Pints for Prostates event was held in your town how likely are you to attend?
1 - Not very likely
2 - It depends on what else I had going on
3 - I would try to attend the event
4 - I would clear my calendar in order to attend
Comments
7
. What type of Pints for Prostates events would you be most likely to attend?
Highly unlikely
Unlikely
Likely
Highly Likely
Brewery tours and tastings.
What type of Pints for Prostates events would you be most likely to attend? Brewery tours and tastings. Highly unlikely
Unlikely
Likely
Highly Likely
Pub crawls.
Pub crawls. Highly unlikely
Unlikely
Likely
Highly Likely
Speaking engagements at local clubs.
Speaking engagements at local clubs. Highly unlikely
Unlikely
Likely
Highly Likely
Appearances at beer festivals.
Appearances at beer festivals. Highly unlikely
Unlikely
Likely
Highly Likely
Fundraisers hosted in private homes.
Fundraisers hosted in private homes. Highly unlikely
Unlikely
Likely
Highly Likely
Events similar to the Denver Rare Beer Tasting.
Events similar to the Denver Rare Beer Tasting. Highly unlikely
Unlikely
Likely
Highly Likely
Health fairs.
Health fairs. Highly unlikely
Unlikely
Likely
Highly Likely
Promotional nights at bars.
Promotional nights at bars. Highly unlikely
Unlikely
Likely
Highly Likely
Comments
8
. If you attended a Pints for Prostates event in 2009, please tell us which one and what you liked or did not like about the event.
If you attended a Pints for Prostates event in 2009, please tell us which one and what you liked or did not like about the event.
9
. How can we improve the way we communicate to you or to the public in general?
How can we improve the way we communicate to you or to the public in general?
10
. Please tell us where you are located.
Please tell us where you are located.
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
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