Screw Cancer App - Patient Feedback Questionnaire

We would like to invite you to take part in our feedback questionnaire. Your feedback will inform the updates we make to the Screw Cancer App, helping us to provide a tool that will contribute to improving the quality of live of patients living with bowel cancer.

This questionnaire is voluntary and should take around 10-15 minutes to complete. The data provided by you is totally anonymous and will not be shared with any third parties.

If you require any assistance to complete this questionnaire please email office@screwcancercharity.com - a member of staff will be happy to assist.

Thank you in advance for taking the time to complete this questionnaire.

Your input is vital – thank you for your support.

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* 1. Are you male or female?

Male

Female

Prefer not to say

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* 2. What is your age?

0-24 years

25-44 years

45-64 years

65-74 years

75+ years

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* 3. What is your cancer stage?

Stage I

Stage II

Stage III

Stage IIII

Unsure

Awaiting diagnosis

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* 4. What was the year of your diagnosis?

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* 5. What type of treatment have you received so far? Please select all that apply.

Surgery

Radiotherapy

Chemotherapy

Immunotherapy

Hormone therapy

No treatment

Other (please specify)

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* 6. How many weeks have you been using the Screw Cancer App?

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* 7. Has the Screw Cancer App helped you worry less about your treatment?

Yes - definitely

Yes - to some extent

Too early to tell

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* 8. Has the information in the Screw Cancer App helped you to understand how your life might change as a result of your cancer diagnosis?

Yes - definitelty

Yes - to some extent

Too early to tell

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* 9. Has the Screw Cancer App helped you to connect with other people? Please select all that apply.

My clinician

My nurse

A support group

Other cancer sufferers

Organisations mentioned in the app

Too early to tell

No, the app has not helped me to connect with other people

Other (please specify)

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* 10. How useful did you find the "My personal information", "My Contacts", "Help and Support" and "My appointments" features of the Screw Cancer App?

	Very Useful	Quite Useful	Not Useful	Not Used
My Personal Information	My Personal Information Very Useful	My Personal Information Quite Useful	My Personal Information Not Useful	My Personal Information Not Used
My Contacts	My Contacts Very Useful	My Contacts Quite Useful	My Contacts Not Useful	My Contacts Not Used
Help and Support	Help and Support Very Useful	Help and Support Quite Useful	Help and Support Not Useful	Help and Support Not Used
My Appointments	My Appointments Very Useful	My Appointments Quite Useful	My Appointments Not Useful	My Appointments Not Used

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* 11. How useful did you find the information in each section of the "Help and Support" feature of the Screw Cancer App?

	Very Useful	Quite Useful	Not Useful	Not Used
Pain	Pain Very Useful	Pain Quite Useful	Pain Not Useful	Pain Not Used
Anxieties	Anxieties Very Useful	Anxieties Quite Useful	Anxieties Not Useful	Anxieties Not Used
Food	Food Very Useful	Food Quite Useful	Food Not Useful	Food Not Used
Side Effects	Side Effects Very Useful	Side Effects Quite Useful	Side Effects Not Useful	Side Effects Not Used
Exercise	Exercise Very Useful	Exercise Quite Useful	Exercise Not Useful	Exercise Not Used
Travel	Travel Very Useful	Travel Quite Useful	Travel Not Useful	Travel Not Used
Money	Money Very Useful	Money Quite Useful	Money Not Useful	Money Not Used
Stoma Care	Stoma Care Very Useful	Stoma Care Quite Useful	Stoma Care Not Useful	Stoma Care Not Used

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* 12. Did you find the website links provided in the "Help and Support" feature of the Screw Cancer App useful?

Yes - definitely

Yes - to some extent

No - the websites didn't contain the information I was looking for

No - I didn't follow the links

No - I I didn't know there were links

Other (please specify)

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* 13. Would you recommend the Screw Cancer App to other people?

Yes

Maybe

Screw Cancer App - Patient Feedback Questionnaire

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* 1. Are you male or female?

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* 2. What is your age?

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* 3. What is your cancer stage?

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* 4. What was the year of your diagnosis?

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* 5. What type of treatment have you received so far? Please select all that apply.

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* 6. How many weeks have you been using the Screw Cancer App?

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* 7. Has the Screw Cancer App helped you worry less about your treatment?

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* 8. Has the information in the Screw Cancer App helped you to understand how your life might change as a result of your cancer diagnosis?

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* 9. Has the Screw Cancer App helped you to connect with other people? Please select all that apply.

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* 10. How useful did you find the "My personal information", "My Contacts", "Help and Support" and "My appointments" features of the Screw Cancer App?

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* 11. How useful did you find the information in each section of the "Help and Support" feature of the Screw Cancer App?

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* 12. Did you find the website links provided in the "Help and Support" feature of the Screw Cancer App useful?

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* 13. Would you recommend the Screw Cancer App to other people?

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* 14. Is there any further information that you would like to see included in the Screw Cancer App? If so, please expand below.

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* 15. Any other comments/feedback?