1. Where did you get your copy of the guide?
From a friend
From the GP waiting room
From my GP or practice nurse
From The Prostate Cancer Charity
Other – please tell us where
2. When you received your copy of the guide, which of the statements below applied to you?
I was concerned about prostate problems
I was concerned about prostate cancer
My GP had told me about the test
I had heard about the test and wanted to know more about it
3. Had you asked your GP about the PSA test before receiving this guide?
Yes
No
4. After you received your copy of the guide, did you discuss the PSA test with your GP?
Yes
No
5. Has the information in the guide helped you to understand the advantages and disadvantages of the PSA test?
Yes, it has been very helpful
Yes, it has been quite helpful
I’m not sure
No, it has not been helpful
6. Would you recommend the guide to other men who are thinking about having a PSA test?
Yes
No
7. How can we improve the guide?
8. What do you plan to do with the guide once you have read it?
(please tick all that apply)
I will show it to my GP
I will give it to family/friends to read
I will keep the guide and refer to it if necessary
I will not use the guide again
9. After reading the guide, do you think you will contact The
Prostate Cancer Charity for more information?
Yes, I plan to contact the Charity for more information
No, I have all the information I need for now
Please tell us a little bit about yourself
10. How old are you?
Under 40
40-59
60-79
80 or over
11. Which of the following ethnic groups would you say you
belong to:
White European
Black European
Black African
Black Caribbean
Chinese
Japanese
Other
12. Which area of the UK do you live in?
East Midlands
Eastern England
North East England
North West
Northern Ireland
Republic of Ireland
Scotland
South East England
South West England
Wales
West Midlands
York & Humber
13. Have you contacted The Prostate Cancer Charity before?
Please tick all that apply
Yes, I have called the Helpline
Yes, I have received printed information
Yes, I have visited the website
Yes, I have raised money or given a donation
Yes, I have attended a Prostate Cancer Charity event
No
please press ONCE only