Informed Consent

The purpose of this study is to develop a sexual function questionnaire specific for the men-who-have-sex-with-men (MSM) community, to further research, and to facilitate treatment decision for future patients.

We are currently in phase 3 of the research. Through the assistance of prostate cancer patients in the MSM community in British Columbia, Canada, we have created a list of potential questions that are of importance to MSM sexual well-being. Your participation will involve completion of this set of question online, which will take about 25 minutes. Your response will help us refine this list and develop the final questionnaire. No personal identifying information will be collected and all your response will be kept confidential.

You are eligible for this research if you are currently under 75 years of age, have previous sexual experience with men, and have a previous diagnosis of prostate cancer treated curatively with surgery, external beam radiation, or brachytherapy. You will not be eligible if you have previous non melanoma skin cancer or receive chemotherapy or pelvic radiation prior to your prostate cancer diagnosis.

This online survey company, “Survey Monkey”, is hosted by a websurvey company located in the USA and as such is subject to U.S. laws. In particular, the US Patriot Act allows authorities access to the records of internet service providers under certain circumstances. This survey or questionnaire does not ask for personal identifiers or any information that may be used to identify you. The storage of email addresses and IP address collection will be disabled to allow anonymous responses. If you choose to participate in the survey, you must understand that your responses to the survey questions will be stored and in the USA but accessed only by study team members in Canada. The security and privacy policy for the websurvey company can be found at the following links: “http://www.surveymonkey.net/mp/policy/privacy-policy/ “ and “http://help.surveymonkey.com/articles/en_US/kb/Are-my-survey-responses-anonymous-and-secure”.

If you have any questions about this survey, you may contact the principal investigators, Dr. Tsz Kin Lee and Dr. Winkle Kwan, at pcastudy@hotmail.com.

* 1. Please read the following questions before proceeding to the survey:

1. Do you understand that completion of the survey is voluntary, and that you are completely free to exit the survey at any time?

2. Do you understand that all of the information will be kept confidential and the results will only be used for scientific objectives?

3. Do you understand that we cannot provide access to the information you have provided because of precautionary measures to protect confidentiality?

If your answers are “yes” for all the above questions, please click “I Agree” which will allow you to proceed to the survey. If you answer “no” to any of the above questions, please click “I Disagree” which will allow you to exit the survey.

 
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