Pints for Prostates

1. Help to Improve the Pints for Prostates Campaign

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* 1. How did you learn about the Pints for Prostates campaign?

I saw it on Twitter.

I saw a magazine ad for Pints for Prostates.

I was invited to join the Pints for Prostates Facebook page.

I read news story about it in a magazine or newspaper.

I attended a Pints for Prostates event.

I read about it in the Us TOO International newsletter/website.

I found the group's website.

I saw it on CNN or another broadcast news program.

A friend told me about the group.

I saw an ad on a website.

Other (please specify)

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* 2. 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)

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* 3. Tell us which of these statements you believe are true (you may check more than one box):

Men really don't need to worry about prostate cancer because you are likely to die with prostate cancer, not from the disease.

Approximately 28,000 U.S. men a year die from prostate cancer.

Prostate cancer in men is as common as breast cancer in women.

African American men run a higher risk of developing prostate cancer.

There is no need to get a prostate specific antigen (PSA) blood test until a man turns 60.

One in six American men will be diagnosed with prostate cancer.

Men should get an annual prostate health screening starting at age 40.

Men with two male relatives that have had prostate cancer have a 92% chance of developing the disease.

Detected in its early stages, prostate cancer is nearly 100% survivable.

The side effects of prostate cancer surgery are worse than the disease.

Government funding for prostate cancer research is higher than funding for breast cancer research.

Surgery is the only option for a man with prostate cancer.

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* 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?

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

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* 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
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	Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor. Disagree	Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor. Neutral	Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor. Agree	Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor. Strongly Agree	Discussions about a disease like prostate cancer should be kept behind closed doors between a man and his doctor. 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	The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago. Disagree	The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago. Neutral	The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago. Agree	The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago. Strongly Agree	The general knowledge about prostate cancer in men is about in the same place as breast cancer in women was 25 years ago. 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	It's OK to use a product like beer to reach men with an important health message. Disagree	It's OK to use a product like beer to reach men with an important health message. Neutral	It's OK to use a product like beer to reach men with an important health message. Agree	It's OK to use a product like beer to reach men with an important health message. Strongly Agree	It's OK to use a product like beer to reach men with an important health message. 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.	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	It's a good idea for Pints for Prostates to bring its message about regular screenings and PSA testing to beer festivals and taverns. Disagree	It's a good idea for Pints for Prostates to bring its message about regular screenings and PSA testing to beer festivals and taverns. Neutral	It's a good idea for Pints for Prostates to bring its message about regular screenings and PSA testing to beer festivals and taverns. Agree	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 Agree	It's a good idea for Pints for Prostates to bring its message about regular screenings and PSA testing to beer festivals and taverns. 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	Most men already know enough about prostate cancer to protect themselves. Disagree	Most men already know enough about prostate cancer to protect themselves. Neutral	Most men already know enough about prostate cancer to protect themselves. Agree	Most men already know enough about prostate cancer to protect themselves. Strongly Agree	Most men already know enough about prostate cancer to protect themselves. 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	We are doing enough in this country to fight prostate cancer. Disagree	We are doing enough in this country to fight prostate cancer. Neutral	We are doing enough in this country to fight prostate cancer. Agree	We are doing enough in this country to fight prostate cancer. Strongly Agree	We are doing enough in this country to fight prostate cancer. N/A
Men would rather avoid any discussion of prostate cancer.	Men would rather avoid any discussion of prostate cancer. Strongly Disagree	Men would rather avoid any discussion of prostate cancer. Disagree	Men would rather avoid any discussion of prostate cancer. Neutral	Men would rather avoid any discussion of prostate cancer. Agree	Men would rather avoid any discussion of prostate cancer. Strongly Agree	Men would rather avoid any discussion of prostate cancer. 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	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. Disagree	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. Neutral	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. Agree	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 Agree	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. 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	Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40. Disagree	Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40. Neutral	Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40. Agree	Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40. Strongly Agree	Health insurance companies should pay for an annual prostate cancer health screening for all men starting at age 40. N/A

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* 6. 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

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* 7. What type of Pints for Prostates events would you be most likely to attend?

	Highly unlikely	Unlikely	Likely	Highly Likely
Events similar to the Denver Rare Beer Tasting.	Events similar to the Denver Rare Beer Tasting. Highly unlikely	Events similar to the Denver Rare Beer Tasting. Unlikely	Events similar to the Denver Rare Beer Tasting. Likely	Events similar to the Denver Rare Beer Tasting. Highly Likely
Brewery tours and tastings.	Brewery tours and tastings. Highly unlikely	Brewery tours and tastings. Unlikely	Brewery tours and tastings. Likely	Brewery tours and tastings. Highly Likely
Fundraisers hosted in private homes.	Fundraisers hosted in private homes. Highly unlikely	Fundraisers hosted in private homes. Unlikely	Fundraisers hosted in private homes. Likely	Fundraisers hosted in private homes. Highly Likely
Promotional nights at bars.	Promotional nights at bars. Highly unlikely	Promotional nights at bars. Unlikely	Promotional nights at bars. Likely	Promotional nights at bars. Highly Likely
Speaking engagements at local clubs.	Speaking engagements at local clubs. Highly unlikely	Speaking engagements at local clubs. Unlikely	Speaking engagements at local clubs. Likely	Speaking engagements at local clubs. Highly Likely
Pub crawls.	Pub crawls. Highly unlikely	Pub crawls. Unlikely	Pub crawls. Likely	Pub crawls. Highly Likely
Appearances at beer festivals.	Appearances at beer festivals. Highly unlikely	Appearances at beer festivals. Unlikely	Appearances at beer festivals. Likely	Appearances at beer festivals. Highly Likely
Health fairs.	Health fairs. Highly unlikely	Health fairs. Unlikely	Health fairs. Likely	Health fairs. Highly Likely

Comments

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* 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.

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* 9. How can we improve the way we communicate to you or to the public in general?

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* 10. Please tell us where you are located.

City/Town:

State: