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Sibling Voices - Parent Survey

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* 1. Age of the sibling(s) you are commenting on:

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* 2. Age of your child with cancer:

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* 3. Diagnosis Year:

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* 4. Is your child on treatment?

Yes

No

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* 5. Please read the following statements and rate your level of agreement with each one:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer.	The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer. Strongly Disagree	The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer. Disagree	The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer. Neutral	The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer. Agree	The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer. Strongly Agree	The content of the DVD accurately represented issues and feelings I have observed in the sibling(s) of my child with cancer. N/A
The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer.	The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer. Strongly Disagree	The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer. Disagree	The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer. Neutral	The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer. Agree	The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer. Strongly Agree	The content of the DVD overstated issues and feelings I have observed in the sibling(s) of my child with cancer. N/A
The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer.	The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer. Strongly Disagree	The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer. Disagree	The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer. Neutral	The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer. Agree	The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer. Strongly Agree	The content of the DVD understated issues and feelings I have observed in the sibling(s) of my child with cancer. N/A
The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with.	The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with. Strongly Disagree	The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with. Disagree	The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with. Neutral	The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with. Agree	The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with. Strongly Agree	The content of the DVD increased my understanding of the issues and feelings my sibling children are dealing with. N/A
The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children.	The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children. Strongly Disagree	The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children. Disagree	The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children. Neutral	The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children. Agree	The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children. Strongly Agree	The content of the DVD helped me to think of ways in which I could be more attentive to the issues and feelings of my sibling children. N/A
After watching the DVD my child feels less alone in having a sibling with cancer	After watching the DVD my child feels less alone in having a sibling with cancer Strongly Disagree	After watching the DVD my child feels less alone in having a sibling with cancer Disagree	After watching the DVD my child feels less alone in having a sibling with cancer Neutral	After watching the DVD my child feels less alone in having a sibling with cancer Agree	After watching the DVD my child feels less alone in having a sibling with cancer Strongly Agree	After watching the DVD my child feels less alone in having a sibling with cancer N/A
Overall, I experienced the DVD in a positive way.	Overall, I experienced the DVD in a positive way. Strongly Disagree	Overall, I experienced the DVD in a positive way. Disagree	Overall, I experienced the DVD in a positive way. Neutral	Overall, I experienced the DVD in a positive way. Agree	Overall, I experienced the DVD in a positive way. Strongly Agree	Overall, I experienced the DVD in a positive way. N/A

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* 6. If you'd like please feel free to share any thoughts you might have about the DVD.