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Sibling Voices - Sibling Survey

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* 1. How old are you:

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* 2. How old is your bother or sister who has cancer?

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* 3. Is your brother or sister on treatment?

Yes

No

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

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer	The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer Strongly Disagree	The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer Disagree	The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer Neutral	The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer Agree	The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer Strongly Agree	The kids in the DVD had the same kinds of issues and feelings that I have about my sibling with cancer N/A
The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer.	The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer. Strongly Disagree	The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer. Disagree	The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer. Neutral	The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer. Agree	The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer. Strongly Agree	The examples in the DVD were WAY WORSE than the issues and feelings I have about my sibling with cancer. N/A
The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer.	The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer. Strongly Disagree	The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer. Disagree	The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer. Neutral	The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer. Agree	The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer. Strongly Agree	The examples in the DVD were NOT AS BAD as the issues and feelings I have had about my sibling with cancer. N/A
After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer.	After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer. Strongly Disagree	After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer. Disagree	After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer. Neutral	After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer. Agree	After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer. Strongly Agree	After watching this DVD, I have a much better understanding of the issues and feelings I have about my siblings with cancer. N/A
After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer.	After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer. Strongly Disagree	After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer. Disagree	After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer. Neutral	After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer. Agree	After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer. Strongly Agree	After watching the DVD, I have thought about a few new ways that I can deal with the issues and feelings I have about my sibling with cancer. N/A
After watching this DVD, I feel less alone in my experience of having a sibling with cancer.	After watching this DVD, I feel less alone in my experience of having a sibling with cancer. Strongly Disagree	After watching this DVD, I feel less alone in my experience of having a sibling with cancer. Disagree	After watching this DVD, I feel less alone in my experience of having a sibling with cancer. Neutral	After watching this DVD, I feel less alone in my experience of having a sibling with cancer. Agree	After watching this DVD, I feel less alone in my experience of having a sibling with cancer. Strongly Agree	After watching this DVD, I feel less alone in my experience of having a sibling with cancer. N/A
Overall I liked this DVD and would tell others to watch it!	Overall I liked this DVD and would tell others to watch it! Strongly Disagree	Overall I liked this DVD and would tell others to watch it! Disagree	Overall I liked this DVD and would tell others to watch it! Neutral	Overall I liked this DVD and would tell others to watch it! Agree	Overall I liked this DVD and would tell others to watch it! Strongly Agree	Overall I liked this DVD and would tell others to watch it! N/A

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