1.What is your connection to breast cancer? Select all that apply.

I have had, or am currently having, breast cancer treatment

I have supported a family member or friend through breast cancer

I support clients/patients affected by breast cancer professionally

I have thoughts on cancer and the workplace more generally

Other (please specify)

2.Were you working (employed or self-employed) at any point during your diagnosis or treatment?

Yes

No

Prefer not to say

3.Which of these affected you most in returning to, or staying in, work during or after treatment? Select all that apply.

Returning to work after treatment

Flexible working and reasonable adjustments

Fatigue, anxiety or longer-term effects of treatment

Menopause and treatment-related changes

Fear of discrimination or losing my job

The transition from patient back to employee

Lack of clear support/policy from my employer

Other (please specify)

4.How would you rate the support you received from your employer during this time?

Very poor

Poor

Average

Good

Excellent

5.What is the single most important change employers or policymakers could make to better support women with breast cancer at work?

6.If you could ask decision-makers in Parliament one question, what would it be?

7.Is there anything else you'd like me to take into that meeting on your behalf? (optional)

8.Would you be happy for your (anonymised) response to be shared as part of the discussion at Parliament?

Yes

No

9.Optional — name and organisation, if you're happy to be credited