Helping us to shape our new Amputation Video Information Resource

Thank you for taking the time to complete this survey. The Bone Cancer Research Trust is creating a series of information videos for patients facing, or who have had, an amputation. 

Your input will help us with the content of these videos.

There will be an opportunity to be part of a focus group to discuss your experiences in more depth. Please let us know if you would like to be involved later on in the survey and we will be in touch. 

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* 1. How old are you now?

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* 2. I am..

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* 3. Where do you live?

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* 4. What type of primary bone cancer/ bone tumour were you diagnosed with?

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* 5. When was your surgery? (DD/MM/YY)

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* 6. At which hospital was your surgery performed?

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* 7. Did you have any previous surgery prior to your amputation (in relation to your cancer or the limb you had amputated)?

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* 8. If yes, what type of surgery?

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* 9. Did you have any chemotherapy and/or radiotherapy prior to your amputation?

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* 10. If yes, which drugs did you receive and for how long before your surgery?

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* 11. Could you give us a brief overview of your capabilities BEFORE your amputation surgery i.e. your physical fitness and day-to-day routine?

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* 12. Which part of your body have you had amputated?

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* 13. Please select the level of amputation you have had:

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* 14. What were some of the issues you wanted to know about before your surgery?

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* 15. Which healthcare professionals did you see before your amputation?

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* 16. What were the benefits of having their input(s)?

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* 17. Which healthcare professionals would you have liked to have seen pre-surgery?

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* 18. What were your main sources of support and information as you prepared for surgery and throughout your recovery?

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* 19. Retrospectively, what would have helped you at the time of your surgery which was limited/ you did not have access to?

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* 20. What were some of the issues you wanted to know about after your surgery?

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* 21. How did you access the information you were given about your surgery and recovery? (select as many as are applicable)

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* 22. Did you receive any peer support before/ after your surgery i.e. a support group, another patient who had undergone an amputation?

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* 23. If yes, what would you say the benefits are of peer support pre/ post-surgery?

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* 24. Following your surgery, did you know what to expect in terms of mobility and rehabilitation?

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* 25. How were you supported upon returning to work/ school/ caring responsibilities?

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* 26. How were you supported upon returning to hobbies/ leisure pursuits/ sports (if applicable)?

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* 27. Would you like to be part of our focus group to further shape the amputation information resource?

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* 28. If yes, please provide your name and email address here:

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