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* 1. Name

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* 2. Age

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* 3. Gender

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* 4. Race

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* 5. Ethnicity

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* 6. Which statement best describes you? Please mark only one answer.

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* 7. Why are you interested in viewing the Decision Making in the Treatment of Metastatic Breast Cancer webinar? Please mark all that apply.

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* 8. How did you hear about the Decision Making in the Treatment of Metastatic Breast Cancer webinar? Please mark all that apply.

Please rate the following statements on the following scale (1= Not True at All, 2= Somewhat True, 3= Completely True)

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* 9. I feel confident that I could correctly explain what metastatic breast cancer is if asked.

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i We adjusted the number you entered based on the slider’s scale.

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* 10. I feel comfortable asking questions and voicing my concerns and opinions with my healthcare providers.

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i We adjusted the number you entered based on the slider’s scale.

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* 11. I understand the difference between metastatic breast cancer and early stage breast cancers.

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i We adjusted the number you entered based on the slider’s scale.

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* 12. Helpful information about metastatic breast cancer is readily available and easily accessible.

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i We adjusted the number you entered based on the slider’s scale.

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* 13. There is an adequate amount of local resources for those living with metastatic breast cancer available in our community.

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i We adjusted the number you entered based on the slider’s scale.

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* 14. I understand the ways in which cancer can spread (metastasize) through the body.

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i We adjusted the number you entered based on the slider’s scale.

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* 15. I understand how metastatic breast cancer is diagnosed and its treatment plans are developed.

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i We adjusted the number you entered based on the slider’s scale.
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