Myeloma UK - Financial Support and Benefits Survey
About you
1.
What is your age?
Under 50
50 - 65
Above 65
2.
Where in the UK do you live?
England
Scotland
Wales
Northern Ireland
3.
How long have you had myeloma?
Less than a year
Between one and five years
Between five and ten years
More than ten years
4.
When diagnosed with myeloma were you in part-time or full-time employment?
Yes
No (go to question 6)
5.
Has having myeloma affected your ability to continue working?
Yes. I have given up work / taken early retirement
Yes. I have been able to continue working, but with difficulty
No. I have been able to continue working with little or no difficulty
Please give brief details
6.
Has myeloma affected your partner's or family's ability to work?
Yes
No
If yes, please give brief details
7.
Have you experienced a significant reduction in your own or your combined income or significant increase in expenditure since your diagnosis?
Yes
No
If yes, please give brief details