Patient'a Guide Feedback Questionnaire

Your feedback is very important! 

Please complete this short online survey about the Patient’s Guide to Understanding Cutaneous Lymphoma.  Your responses will help us improve the Guide.

Please complete this survey by May 15, 2012.

Many thanks! Contact us if there’s anything we can help you with. Email: or phone: (248) 644-9014.

* 1. The Patient Guide to Cutaneous Lymphoma:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Explained the disease and the different types
Helped you to understand signs and symptoms
Helped you understand disease staging
Explained treatments and side effects
Provided ways to take care of your skin
Explained research initiatives and clinical trials
Recommended ways to live as well as possible with the disease
Provided additional resources for support
Provided a helpful Glossary of Terms
Helped you learn about the programs and services offered by Cutaneous Lymphoma Foundation
Provided information on how to connect with the Cutaneous Lymphoma Foundation

* 2. In the space below, please share additional feedback including suggestions for any improvements you’d like to see in future editions:

Thank You! We appreciate your input.