Workshop Evaluation 2018

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* 1. I attended as a:

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* 2. What is your race/ethnicity? (Check all that apply)

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* 3. How old are you

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* 4. Are you male or female?

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* 5. Is this the first workshop for Gilda's Club you have participated in?

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* 6. Is/was immunotherapy a potential treatment option for you (or your loved one)?

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* 7. How knowledgeable were you about immunotherapy BEFORE this workshop?

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* 8. How knowledgeable were you about immunotherapy AFTER this workshop?

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* 9. After this workshop, what unanswered questions do you have about immunotherapy?

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* 10. I would recommend this workshop to others with cancer and their loved ones.

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* 11. General comments or suggestions about the workshop (i.e. are there other topics not covered in this workshop that you would be interested in, etc.):

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* 12. Before this workshop I:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
made treatment decisions in partnership with my (my loved ones health care team)
Asking my (my loved one's) doctor about potential clinical trials available to me.
Searched for more information about immunotherapy
Spoke with my doctor about immunotherapy
treatment options
Knew about the potential side effects of
immunotherapy

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* 13. Besides workshops, where do you seek information about cancer treatments? (Check all that apply)

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* 14. As a result of this workshop I feel more confident in:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
making treatment decisions in partnership with my (my loved one's) healthcare team. 
Asking my (my loved one's) doctor about potential clinical trials available to me.
Asking my doctor about potential clinical trials
available to me
Searching for more information on immuontherapy
Speaking with my doctor about immunotherapy
treatment options
Talking to my doctor about the potential side effects of immunotherapy

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* 15. The social and emotional effects of cancer, and their impact on my life, have been adequately addressed by my healthcare team.

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* 16. Where do you turn for emotional support to deal with cancer? (Check all that apply)

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* 17. If you have cancer/cancer survivor, what was your primary cancer diagnosis?

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* 18. Do you have metastatic/advanced cancer?

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* 19. How long has it been since you (or your loved one) was first diagnosed with cancer?

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* 20. Are you (your loved one) currently in active treatment?

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* 21. What kind of treatment are you receiving/have received in the past?

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* 22. Have you participated in a clinical trial?

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* 23. When you were first diagnosed (or your loved one), how involved were you in choosing a specific course or type of treatment?

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* 24. When you (or your loved one) were first diagnosed, how many treatment options did your healthcare team present to you?

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* 25. Please select the statements that BEST describe why you (or loved one) chose the treatment you did:

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* 26. Optional: Please provide your name and contact information if you would like to be contacted about Gilda's Club programming or events or if you would like to sign up for the Cancer Experience Registry (wwwcancerexperienceregistry.org).

Thank you for your feedback!
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