FOR 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 11 9% Initial questionsLiving with or beyond cancer* Living with cancer Beyond cancer Years since diagnosis* Type of cancer* Stage of cancer* Treatment types (please specify drugs and surgical outcomes etc)* Are you currently receiving treatment* Yes No Rather not say If not, how long has it been since your last treatment Consent* I agree to the research terms and conditions. FEELINGS ABOUT BODY POST DIAGNOSIS / TREATMENTDid your diagnosis/treatment change aspects of your body which impacted your body confidence?* I felt less confident I felt more confident I felt no change to how confident i felt Rather not say Did your diagnosis/treatment change how sexy you felt?* I felt less sexy I felt more sexy I felt no change to how sexy i felt Rather not say SUPPORT FROM CLINICIANS / GP WERE THEY INFORMED OF POTENTIAL IMPACT TO SEXUAL WELLNESS / INTIMACY?Did your health care provider tell you about the side effects of your diagnosis / treatment that would impact your sexual wellness / intimacy?* Yes No Rather not say If you discussed sexual wellness / intimacy with your health care provider, did you initate the conversation or the provider?* I did My health care provider did Rather not say Do/did you feel that your concerns, about the impact on your sexual health, were taken seriously?* Yes No Rather not say Do/did you feel comfortable to discuss your sexual wellness post diagnosis with your health care providers?* Yes No Rather not say RESOURCES AVAILABLE / ARE THEY USEFUL? EASY TO FIND?Did you search for your own information on how your diagnosis / treatment had impacted your 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 cancer support groups? Yes No Not applicable ISSUES EXPERIENCED WITH PHYSICAL SEXUAL FUNCTION?Has your diagnosis / treatment impacted your ability to achieve orgasm, either with a partner or through self pleasure?* Yes, my ability to orgasm has reduced No, my ability to orgasm has not reduced Rather not say ISSUES EXPERIENCED WITH INTIMACY WITH COMMITTED PARTNER?Do/did you feel able to communicate changes to your sexual wellness / intimacy with your partner?* Yes No Not applicable Do/did you feel your partner understood the impact your diagnosis / treatment has/had on your intimacy with them?* Yes No Not applicable ISSUES EXPERIENCED WITH INTIMACY WITH CASUAL PARTNER?Do/did you feel confident about being intimate with a casual partner during your diagnosis/treatment?* Yes No Not applicable ISSUES EXPERIENCED WITH INTIMACY AND DATING?Do/did you date throughout your diagnosis / treatment?* Yes No Not applicable Was lonlieness an issue you faced because of your diagnosis / treatment* Yes No Not applicable Do/did you tell casual partners about your diagnosis / treatment?* Yes No Not applicable SOLUTIONS THEY'VE USED / WOULD RECOMMEND?Has self pleasure/ intimacy with others helped you through your cancer experience?* Yes No Rather not say Did you find solutions to improve your sexual wellness / sexual function during your diagnosis / treatment* Yes No Rather not say WHAT IS THE IMPACT OF THE CAMPAIGNDo you feel more likely to discuss sexual health with your health care provider after seeing this GIRLvsCANCER campaign?* No, less likely About the same Yes, more likely Rather not say Will you use the GIRLvsCANCER campaign as a resource throughout your journey with yourself and partner?* Yes No Rather not say Has the GIRLvsCANCER campaign made you more likely to think about your sexual wellness?* 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
