Cancer Care Review Feedback

Thank you for taking the time to complete this questionnaire.

You have been given this link following you Cancer Care Review appointment with either your GP or other practice staff member to review your health and wellbeing.

We would like to understand your experience of this appointment and whether you felt listened to and supported appropriately.

This survey should take no longer than 10 minutes to complete.

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* 1. Which GP practice did you have your appointment with?

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* 2. Who did you meet at your appointment?

Practice Nurse

Other (please specify)

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* 3. Where did your appointment take place?

GP Practice

In your own home

Over the telephone

Other (please specify)

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* 4. How long was your appointment?

Less than 5 minutes

5-10 minutes

11-15minutes

16-20 minutes

More than 20 minutes

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* 5. During your appointment what did you discuss?

Your Diagnosis

Your Treatment

Physical Symptoms (Feeling tired, pain, or cough etc)

Psychological Symptoms (Feeling scared, having worries and anxieties etc)

Advice on how to stay well (Physical activity and nutrition, stopping smoking, signposting to support groups etc)

Advice about housing, benefits or returning to work

Planning for your future care and treatment (Care Plan)

Other (please specify)

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* 6. During the appointment did you have enough time to talk about the things that are important to you?

Yes

No, please tell us why

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* 7. Was the member of practice staff you saw aware of your diagnosis and treatment so far?

Yes

No - Please tell us more about this

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* 8. Was the member of practice staff you saw able to discuss possible consequences and side effects of treatment with you?

Not Applicable

Yes

Please tell us a bit more

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* 9. Following you appointment do you feel that you

are able to discuss your on-going care and support needs with your GP or other practice staff member?

were able to contribute to the future planning of your care?

have the information you need to manage your health?

have been signposted to local support services?

understand ways in which you can change your lifestyle to improve your health?

could take future questions about your health and wellbeing to your GP or other practice staff member?

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* 1. Which GP practice did you have your appointment with?

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* 2. Who did you meet at your appointment?

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* 3. Where did your appointment take place?

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* 4. How long was your appointment?

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* 5. During your appointment what did you discuss?

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* 6. During the appointment did you have enough time to talk about the things that are important to you?

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* 7. Was the member of practice staff you saw aware of your diagnosis and treatment so far?

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* 8. Was the member of practice staff you saw able to discuss possible consequences and side effects of treatment with you?

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* 9. Following you appointment do you feel that you

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* 10. Do you have any other comments you would like to add?