1. Please take a moment to give us your feedback

Please answer the following questions about The Transplant Process. We need your feedback to make our materials as helpful as possible.

* 1. Who reads the information in The Transplant Process? (Check all that apply)

* 2. Will you save The Transplant Process to read again?

* 3. Does the information in The Transplant Process help you have better conversations with your doctor and medical team?

* 4. After reading The Transplant Process, do you have a better understanding of:

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The formal search for a donor or cord blood unit
Preparing for your transplant
Choosing a caregiver and understanding the caregiver role
Planning for transplant costs
Preparing emotionally for transplant
Addressing fertility concerns
Getting a central line
Preparative regimen treatment
Collecting cells for transplant
Receiving new cells
Preventing common complications
Returning home and staying healthy
One-year follow-up evaluation
Managing possible long-term effects
Contacting your donor
Adjusting to life after transplant

* 5. After reading The Transplant Process, did you do any of the following? (Check all that apply)

* 6. Overall, how would you rate The Transplant Process?

* 7. Would you recommend The Transplant Process to others in your situation?

* 8. Would you recommend the Office of Patient Advocacy to others in your situation?

For the following questions, please tell us about yourself. The information provided helps us understand your needs. All answers are confidential.

* 9. Patient is:

* 10. Patient’s age:

* 11. Patient’s ethnicity:

* 12. Patient’s race (Check all that apply):

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* 14. Additional comments or suggestions: