General Information

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1. Do you suffer from Chemotherapy-induced Peripheral Neuropathy (CIPN)?

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2. Were you aware that peripheral neuropathy is a common side effect of chemotherapy?

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3. What type of cancer where you diagnosed with?

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4. What chemotherapy drug treatment did your doctor order?

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5. On a scale of 1-10 how severe are your peripheral neuropathy symptoms?

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6. What peripheral neuropathy symptoms impact you the most in your daily life?

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7. How soon after chemotherapy treatment did you experience peripheral neuropathy side effects?

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8. Were you able to complete your chemotherapy treatment?

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9. Did your peripheral neuropathy improve, worsen or disappear after completing chemotherapy treatment?

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10. What medication do you use to manage your peripheral neuropathy?

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