CLAN Cancer Support - Inverurie and Surrounding Area Services Survey

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* 1. Are you a: (please tick all that apply)

Patient (currently receiving treatment)

Patient (post treatment)

Patient (palliative)

Carer (looking after a family member or friend with cancer)

Relative / Friend

I'd rather not say

Health Professional / Representative of another organisation or group

Other (please state)

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* 2. Are you currently aware of the services CLAN provides in Inverurie?

Yes

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* 3. CLAN currently provides a wide range of services in the community. From the list below:

Which ones are you aware of, and which ones do you feel would be beneficial? (please select all that apply)

	Aware of	Would be beneficial
Information	Information Aware of	Information Would be beneficial
One to one emotional support	One to one emotional support Aware of	One to one emotional support Would be beneficial
Self help techniques eg relaxation techniques	Self help techniques eg relaxation techniques Aware of	Self help techniques eg relaxation techniques Would be beneficial
Therapeutic group activities eg yoga, arts	Therapeutic group activities eg yoga, arts Aware of	Therapeutic group activities eg yoga, arts Would be beneficial
Counselling	Counselling Aware of	Counselling Would be beneficial
Complementary therapies	Complementary therapies Aware of	Complementary therapies Would be beneficial
Nutrition advice and workshops	Nutrition advice and workshops Aware of	Nutrition advice and workshops Would be beneficial
Children & family support	Children & family support Aware of	Children & family support Would be beneficial
Online support	Online support Aware of	Online support Would be beneficial
Salon services such as wig and hair styling and advice	Salon services such as wig and hair styling and advice Aware of	Salon services such as wig and hair styling and advice Would be beneficial
Meeting others in a similar situation	Meeting others in a similar situation Aware of	Meeting others in a similar situation Would be beneficial
Telephone support	Telephone support Aware of	Telephone support Would be beneficial
Lingerie and prosthesis advice and support	Lingerie and prosthesis advice and support Aware of	Lingerie and prosthesis advice and support Would be beneficial
Email support	Email support Aware of	Email support Would be beneficial
Somewhere you can just drop in for a chat	Somewhere you can just drop in for a chat Aware of	Somewhere you can just drop in for a chat Would be beneficial

Other (please state)

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* 4. What do you feel are the main barriers preventing people from accessing cancer support services locally? (Please tick all that apply to you)

Travel time

Cost of travel

Transport availability

Lack of available services

Not being comfortable asking for help outside family and friends

Do not know what is available

Do not feel comfortable accessing support in my community

Other (please state)

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* 5. How far would you be prepared to travel to access CLAN Cancer Support's services?

Less than 1 mile

1 - 5 miles

5 - 10 miles

More than 10 miles

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* 6. Do you prefer to access services:

Inside your local town/village

Outside your local town/village

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* 7. What transport would you use? (please select all that apply)

Public Transport

Car

CLAN Transport (if available)

Other (please specify)

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* 8. How do you feel that CLAN Cancer Support could complement existing services in the local area and help address gaps in service provision?

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* 9. Finally, if you would like to be involved in any future consultation regarding CLAN service development, please add your name and your preferred method of contact below:

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* 1. Are you a: (please tick all that apply)

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* 2. Are you currently aware of the services CLAN provides in Inverurie?

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* 3. CLAN currently provides a wide range of services in the community. From the list below:Which ones are you aware of, and which ones do you feel would be beneficial? (please select all that apply)

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* 4. What do you feel are the main barriers preventing people from accessing cancer support services locally? (Please tick all that apply to you)

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* 5. How far would you be prepared to travel to access CLAN Cancer Support's services?

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* 6. Do you prefer to access services:

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* 7. What transport would you use? (please select all that apply)

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* 8. How do you feel that CLAN Cancer Support could complement existing services in the local area and help address gaps in service provision?

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* 9. Finally, if you would like to be involved in any future consultation regarding CLAN service development, please add your name and your preferred method of contact below:

* 3. CLAN currently provides a wide range of services in the community. From the list below:

Which ones are you aware of, and which ones do you feel would be beneficial? (please select all that apply)