1. Where did you get your copy of this booklet?
From a friend
From my specialist nurse / doctor at the hospital
From my local GP practice
From The Prostate Cancer Charity
Other – please tell us where
2. When you received your copy of the booklet?
Before starting hormone therapy treatment
After starting hormone therapy treatment. If so, how long after?
I am not on hormone therapy but wanted to find out more about it
Other – please tell us when
3. Has the information in the booklet helped you to understand the possible side-effects of hormone therapy and ways to manage them?
Yes, it has been very helpful
Yes, it has been quite helpful
I’m not sure
No, it has not been helpful
4. Has your health professional used the booklet with you, ticking
the treatment you are having and filling in the drug chart and contact details?
Yes, they filled most of this information in for me
Yes, they helped me to fill it in myself
No, I filled it in myself
No, I have not filled in any of the information in the booklet
5. Would you recommend the booklet to other men who are having or thinking about having hormone therapy?
Yes
No
6. Can you think of anything that would make this booklet more helpful? For example, any additional information?
7. What do you plan to do with the booklet once you have read it?
(please tick all that apply)
I will continue to use the information in the booklet to
help me make decisions about my treatment and ongoing care
I will give it to family/friends to read
I will keep the booklet and refer to it if necessary
I will not use the booklet again
8. After reading the booklet, 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
9. How old are you?
Under 40
40-59
60-79
80 or over
10. Which of the following ethnic groups would you say you
belong to:
White European
Black European
Black African
Black Caribbean
Chinese
Japanese
Other
11. Which area of the UK do you live in?
East Midlands
Eastern England
North East England
North West England
Northern Ireland
Republic of Ireland
Scotland
South East England
South West England
Wales
West Midlands
York & Humber
12. 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