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Published byOphelia Ferguson Modified over 8 years ago
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Survey Key
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1. Which of the following age groups have the highest risk of breast cancer? People in their 20s or younger 30-49 50 and older all of the above
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2. At what age can a person start to get yearly mammograms? 30 35 40 50
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3. Like women, men can also get breast cancer. True or False? True False
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4. What percent of breast biopsies turn out to be non-cancerous (benign)? 80% 75% 70% 65%
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5. If found early, a woman diagnosed with breast cancer has a high survival rate. True or false? True False
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6. Tell us what you think experts say about whether each of these breast self exam methods are right or wrong: RightWrongDon’t Know Grid methodX Circular motion techniqueX When you’re lying on your backX When you’re in the showerX Any method that makes a woman aware of changes to her body X
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True (it increases risk) False (it does not increase risk) Family history of breast cancer X (20%)(80%) Breast implants X Taking birth control pills X Hormone therapy (for menopause) X Sexual abuse X Obesity X Drinking too much alcohol X Getting hit in the breast X High fat diet X Having no children X 7. Answer true or false to tell us if you think each of the following factors increases the risk of breast cancer. continued on next slide …
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True (it increases risk) False (it does not increase risk) Having children after 30 X Late menopause (after 55) X Antiperspirants X Smoking X Not breastfeeding your child X Stress X Underwire bras X Chemical exposure over time X Not exercising X Being a woman X Being over 50 years old X 7. (CONTINUED) Answer true or false to tell us if you think each of the following factors increases the risk of breast cancer.
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8. Of all of the possible factors in the list above, which one do you think is the single greatest risk factor for getting breast cancer? Being a woman
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9. For each of the following statements, on a scale of 1-5 please rate how much you agree or disagree with the following statements: 1 = strongly disagree 5 = strongly agree You can do a lot to prevent getting cancer. 12345 Cancer is something you survive and live with. 12345 The thought of getting cancer really frightens me. 12345 The older you are, getting cancer is very likely. 12345 I’d rather not know I have cancer than be subjected to cancer treatments such as surgery, chemotherapy or radiation therapy. 12345 A mammogram is an accurate way to test for breast cancer. 12345 I’ll never get cancer. 12345
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10. Do you know people who have had breast cancer? Please mark all that apply. Blood relative Other relative / family member Friend Acquaintance Friend of friend Co-worker Neighbour I don’t know anyone who has had breast cancer
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11. How comfortable would you feel talking about the need for a physical exam of your breasts with your doctor? Very comfortable Comfortable Not very comfortable Not comfortable Don’t know
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12. Has anyone shown you how to examine your own breasts? Yes No (a) If yes, who? Friend Family member Doctor Nurse Pamphlet Website Video
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13. How confident do you feel that you know what you’re looking for when examining your breasts? Extremely confident Very confident Fairly confident Not very confident Not at all confident
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14. Have you ever had any medical problems with your breasts? Yes No (a)If yes, what kind of problems? Cyst Non-cancerous tumour Malignant tumor Fibrocystic breast Lymphoma Lipoma
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15. What do you think are the chances that you will get breast cancer some day? Very likely Somewhat likely Not very likely I don’t think I will ever get breast cancer
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16. Which of the following would influence you to get screened for breast cancer? Please check all that apply: Family doctor or nurse Pamphlet / poster TV ad Radio ad Newspaper/magazine ad Native women’s organization Friend Internet Female family member Male family member Breast health presentation A breast cancer survivor Social media (Facebook, Twitter) Youtube video Other (please describe)
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17. When should people first be screened for cancer? After they experience symptoms When they are well, before they experience symptoms
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18. A physical exam involves a doctor or nurse feeling for lumps or irregularities in your breast. Have you ever had a physical breast exam? Yes No (a)If yes, when did you last have a breast exam by a doctor or nurse? (choose only one) Less than 12 months ago 1 or 2 years ago more than 2 years ago don’t know
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19. If you are 40 or older, do you need a doctor to book a mammogram? Yes No
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20. How likely are you to have a mammogram in the next year? Very likely Somewhat likely Not very likely Absolutely will not
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21. Have you ever had a mammogram? Yes No
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21. (a) If no (have you ever had a mammogram), why not? (choose all that apply) No reason No physician recommendation Didn’t get around to it Afraid Never heard of it Never thought of it Don’t believe in it Anticipated pain I don’t go to doctors Concerned about radiation Can’t afford it Too old Too young No transportation No babysitter Other (please explain)
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21. (b) If yes (have you ever had a mammogram), when was the last one? Less than 1 year ago 1-2 years ago more than 2 years ago (c) If yes, why did you have the most recent mammogram? Recommended by doctor Lump/cyst detected Routine check up For peace of mind High risk Because of my age
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22. Have you ever heard of the Nova Scotia Breast Screening program? Yes No (a) If yes, where from? Doctor Nurse Family / friends Radio TV Newspaper Magazines Display Other __________________
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23. Have you ever heard of the Nova Scotia Breast Screening van? Yes No (a) If yes, where from? Doctor Nurse Family / friends Radio TV Newspaper Magazines Presentation Display I’ve seen it I’ve used it Other ____________________
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24. What is your highest level of education? Grade 9 or less High school diploma College diploma/trade certificate Some university University degree
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25. Do you have a doctor you consider to be your regular doctor? Yes No (a) If yes, when do you see this doctor (choose only one)? Only for specific problems Annual check up Once a month For prescription renewal(s) Every three to six months Prefer not to say
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26. In general how well does your income meet your needs? Very well Adequate Not very well Not adequate
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27. What age group are you in? 19-29 30-39 40-49 50-59 60-69 70+
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28. Are you on Facebook? Yes No (a) If yes, how often do you log in? Every day Once a week Once a month Very rarely (b) If you are on Facebook, how many Facebook friends do you have? 1-50 51-99 100-249 250-499 500+
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