FOR PARTNERS OF PEOPLE WHO HAVE / HAD CANCER Hey gang, got a spare 2 minutes to get down to bizniz and take our cheeky survey? Your answers will remain anonymous and for our eyes only!You can see our T&Cs for extra information and email any questions about the survey to amy@girlvscancer.co.uk. "*" indicates required fields Step 1 of 8 12% Initial questionsIs your partner living with or beyond cancer* Living with cancer Beyond cancer Years since diagnosis of your partner* Type of cancer* Stage of cancer* Treatment types (please specify drugs and surgical outcomes etc)* Are they currently recieving treatment* Yes No Rather not say If not, how long has it been since their last treatment Consent* I agree to the research terms and conditions. WERE THEY INFORMED OF POTENTIAL IMPACT TO SEXUAL WELLNESS / INTIMACY?Did you feel well-informed about the impact of your partners diagnosis/ treatment on their sexual wellness / intimacy?* Yes No Rather not say SUPPORT FROM CLINICIANS / GPDo/did you feel you are able to discuss your sexual wellness post diagnosis with your partners health care providers?* Yes No Rather not say SUPPORT FROM CLINICIANS / GPDid you search for your own information on how their diagnosis / treatment impacted their sexual wellness / intimacy?* Yes No Rather not say Did you find useful information from your own research?* Yes No Rather not say Did you feel comfortable discussing sexual wellness / intimacy in support groups for relatives of cancer?* Yes No Not applicable ISSUES EXPERIENCED WITH INTIMACY WITH COMMITTED PARTNER?Do you feel your care giving role has changed how you approach intimacy with your partner?* I feel less intimate with my partner I feel more intimate with my partner My intimacy hasn't changed Do/did you feel able to communicate changes to your intimacy and their sexual wellness with your partner?* Yes No Rather not say SOLUTIONS THEY'VE USED / WOULD RECOMMEND?Did you find solutions to improve your intimacy with your parter during their diagnosis / treatment* Yes No Rather not say WHAT IS THE IMPACT OF THE CAMPAIGNHas this campaign made you feel better equipped to talk to your partner about sexual wellness and intimacy during/after cancer?* No, less likely About the same Yes, more likely Has this campaign affected how you might approach sexual wellness conversations with your HP in future ?* Yes No Rather not say DEMOGRAPHIC INFORMATION & Further commentsPronouns* Age*Which category below includes your age?17 or younger18-2021-2930-3940-4950-5960 or olderGender*How do you identify your gender?FemaleMaleFEMALE - TRANSMALE - TRANSINTERSEXNon - BinaryPrefer not to sayOther (please specify)Other* Regional location*Please select from below:North East EnglandNorth West EnglandYorkshire and The HumberEast MidlandsWest MidlandsEast of EnglandLondonSouth EastSouth WestAntrimArmaghDownFermanaghDerryTyroneNorth WalesMid WalesWest WalesSouth WalesAberdeen & AberdeenshireArgyll and the IslesAngus & DundeeAyrshire & ArranDumfries and GallowayEdinburgh & the LothiansFifeGlasgow and the Clyde ValleyThe HighlandsMoray & SpeysidePerthshireScottish BordersRace - How do you identify?*Please select from below:White - BritishWhite - IrishWhite - ScottishWhite - OtherWhite - Mixed HeritageAsian or Asian British - IndianAsian or Asian British - PakistaniAsian or Asian British - BangladeshiAsian or Asian British - Sri LankanAsian or Asian British - ThaiAsian or Asian British - VietnameseAsian or Asian British - CambodianAsian or Asian British - Mixed HeritageAsian or Asian British - Any other Asian backgroundBlack or Black British - CaribbeanBlack or Black British - AfricanBlack or Black British - Mixed HeritageBlack or Black British - Any other Black backgroundChinese or Chinese BritishChinese or Chinese British - Mixed HeritageJapanese or Japanese BritishJapanese or Japanese British - Mixed HeritageOtherOther* Sexual Orientation*Please select from below:bisexual.gay/lesbian.heterosexual/straight.Pansexualdon't know.prefer not to say.Other (please state)Other* Relationship status* Religious identify* Gender of your partner (if applicable)*How do you identify your gender?FemaleMaleFEMALE - TRANSMALE - TRANSINTERSEXNon - BinaryPrefer not to sayOther (please specify)Other* Add any further comments here, remember to stay anonymous
