Breast Cancer Survivorship

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1. Did your surgeon share the array of support services available to you at the hospital and community?

Did your surgeon share the array of support services available to you at the hospital and community?   Yes No

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2. If not, did you seek a patient support group of your own?

If not, did you seek a patient support group of your own?   Yes No N/A

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3. Were you offered any holistic (healing) therapies (e.g. Reiki, acupuncture, etc.)?

Were you offered any holistic (healing) therapies (e.g. Reiki, acupuncture, etc.)?   Yes No

4. If yes, what therapies did you participate in?

If yes, what therapies did you participate in?   Massage Reiki Acupuncture Guided imagery Yoga Meditation Hypnosis Stress reduction Nutritional Counseling Exercise classes Vitamin and antioxident therapy

Other (please specify)

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5. Did you have to pay for these services?

Did you have to pay for these services?   Yes No Partially subsidized

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6. Did your doctor make a connection for you with a local support group?

Did your doctor make a connection for you with a local support group?   Yes No

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7. Since Breast Cancer has entered your life, do you consider yourself to be:

Since Breast Cancer has entered your life, do you consider yourself to be:   A Survivor A Thriver Hanging on for dear life No different then before my diagnosis Victim

Other (please specify)

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8. Do you incorporate exercise in your weekly routine?

Do you incorporate exercise in your weekly routine?   Yes No

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9. Did your healthcare team promote exercise as a risk reduction strategy?

Did your healthcare team promote exercise as a risk reduction strategy?   Yes No

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10. Did your doctor discuss the importance of nutrition in your post cancer care?

Did your doctor discuss the importance of nutrition in your post cancer care?   Yes No