Talk it Up! Biden Breast Health Initiative and Cancer Care Connection

1. What school do you attend?

	New Castle County	Kent County	Sussex County
Select your High School	What school do you attend? Select your High School New Castle County	Kent County	Sussex County

2. Who did you share the information with?

	relative	non-relative
First Woman	*Who did you share the information with? First Woman relative	First Woman non-relative
Second Woman	Second Woman relative	Second Woman non-relative

3. Were the women open to receiving the information that you shared?

	Yes	No
First woman	*Were the women open to receiving the information that you shared? First woman Yes	First woman No
Second woman	Second woman Yes	Second woman No

4. Did the women with whom you shared the information already know the information?

	Yes	No
First Woman	*Did the women with whom you shared the information already know the information? First Woman Yes	First Woman No
Second Woman	Second Woman Yes	Second Woman No

5. How well did the women receive the information?

	Poorly	Good
First Woman	*How well did the women receive the information? First Woman Poorly	First Woman Good
Second Woman	Second Woman Poorly	Second Woman Good

6. How hard was it for you to share the information with them?

How hard was it for you to share the information with them? Hard

Just okay

Easy

7. Do you think either of the women will phone Cancer Care Connection if they have questions or need an appointment?

Do you think either of the women will phone Cancer Care Connection if they have questions or need an appointment? Yes

8. How would you describe your experience with the Talk it Up program?

How would you describe your experience with the Talk it Up program?

Check out our sample surveys and create your own now!

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