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* 1. About you.

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* 2. Since diagnosis how often have you felt: (please select all that apply)

  Most of the Time Sometimes Rarely Never
Anger
Isolation/Alone
Depression
Fear/Anxiety
Peace/Acceptance

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* 3. How has Covid19 impacted your life? We would like to know how the current Pandemic has affected you, your treatment and the support you receive.

  Yes No
Have you been able to attend routine appointments?
If newly diagnosed have you been offered treatment?
Have you been able to continue with planned treatment?

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* 4. Thinking of your answers above, how has COVID19 affected your feelings?

  More Less Not affected Don't know
Anger
Isolation/Alone
Depression
Fear/Anxiety
Peace/Acceptance

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* 5. How can DAST support you?

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* 6. How can we stay in contact with you? We have been unable to continue with our programme of Wellbeing meetings during this current crisis. Can we do more to be in contact with you? Would you like DAST or a volunteer to contact you via:

  Yes No
Email
Person letters
Telephone
Technology (such as Zoom, WhatsApp, Google meet)

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* 7. Would you like to meet others via technology?

  Yes No
Facebook Rooms
Google Meet
WhatsApp
Zoom
Microsoft Teams
Other (please state)

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* 8. When Lockdown is over, is there anything that would prevent you attending face to face meeting?

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* 9. What speakers and/or activities would encourage you to attend? Please select all that apply.

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* 10. Thank you for completing this survey. Is there anything else that you would like to feedback to the DAST Team?

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