Eating Well, Living Well: Post-Survey

On a scale of 0-5, where an answer closer to 0 means you are not confident at all and an answer closer to 5 means you are very confident... *

	0	1	2	3	4	5
How confident are you about your knowledge surrounding gynecologic cancers?	How confident are you about your knowledge surrounding gynecologic cancers? - 0	How confident are you about your knowledge surrounding gynecologic cancers? - 1	How confident are you about your knowledge surrounding gynecologic cancers? - 2	How confident are you about your knowledge surrounding gynecologic cancers? - 3	How confident are you about your knowledge surrounding gynecologic cancers? - 4	How confident are you about your knowledge surrounding gynecologic cancers? - 5

On a scale of 0-5, where an answer closer to 0 means you did not find it helpful at all... *

	0	1	2	3	4	5
How helpful is this series?	How helpful is this series? - 0	How helpful is this series? - 1	How helpful is this series? - 2	How helpful is this series? - 3	How helpful is this series? - 4	How helpful is this series? - 5

On a scale of 0-5, where an answer closer to 0 means you don’t think you learned anything and an answer closer to 5 means you learned a lot... *

	0	1	2	3	4	5
How much did you learn from this series?	How much did you learn from this series? - 0	How much did you learn from this series? - 1	How much did you learn from this series? - 2	How much did you learn from this series? - 3	How much did you learn from this series? - 4	How much did you learn from this series? - 5

Would you recommend this content to someone else wanting to learn more about gynecologic cancer and care? *

Do you have any other feedback about this series that you would like to share with us?

What topics would you like to see covered at our next event, webinar or course/series provided online?

On a scale of 0-5 for each, where an answer closer to 0 means you do not agree at all and an answer closer to 5 means you strongly agree, how much do you agree with the following? *

	0	1	2	3	4	5
I am now more likely to discuss gynecologic cancers with a doctor.	I am now more likely to discuss gynecologic cancers with a doctor. - 0	I am now more likely to discuss gynecologic cancers with a doctor. - 1	I am now more likely to discuss gynecologic cancers with a doctor. - 2	I am now more likely to discuss gynecologic cancers with a doctor. - 3	I am now more likely to discuss gynecologic cancers with a doctor. - 4	I am now more likely to discuss gynecologic cancers with a doctor. - 5
I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones.	I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones. - 0	I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones. - 1	I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones. - 2	I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones. - 3	I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones. - 4	I now feel more prepared to discuss gynecologic cancer and care with friends and loved ones. - 5
I now feel more prepared to discuss gynecologic cancers with a doctor.	I now feel more prepared to discuss gynecologic cancers with a doctor. - 0	I now feel more prepared to discuss gynecologic cancers with a doctor. - 1	I now feel more prepared to discuss gynecologic cancers with a doctor. - 2	I now feel more prepared to discuss gynecologic cancers with a doctor. - 3	I now feel more prepared to discuss gynecologic cancers with a doctor. - 4	I now feel more prepared to discuss gynecologic cancers with a doctor. - 5
I am now more likely to discuss gynecologic cancer and care with friends and loved ones.	I am now more likely to discuss gynecologic cancer and care with friends and loved ones. - 0	I am now more likely to discuss gynecologic cancer and care with friends and loved ones. - 1	I am now more likely to discuss gynecologic cancer and care with friends and loved ones. - 2	I am now more likely to discuss gynecologic cancer and care with friends and loved ones. - 3	I am now more likely to discuss gynecologic cancer and care with friends and loved ones. - 4	I am now more likely to discuss gynecologic cancer and care with friends and loved ones. - 5

What was your most important takeaway when it comes to gynecologic cancers and care for this series? *

General knowledge

Ability to talk to friends and family

Ability to talk to medical professionals

Other (please specify)

What was your most important takeaway when it comes to gynecologic cancers and care for this series? Other (please specify)

What barriers in access to care do you and/or your loved one continue to experience following completion of the series? *

What barriers in access to care do you and/or your loved one continue to experience following completion of the series? Other (please specify)

We want to make sure we are talking to a lot of different kinds of people. How do you identify yourself? *

We want to make sure we are talking to a lot of different kinds of people. How do you identify yourself? Other (please specify)

Please indicate in what year you were born. *

Month

Day

Year

Please indicate in which state you currently live. *

Could you please indicate which race/ethnicity best describes you? (select all that apply) *

Asian or Pacific Islander

Black/African American

Hispanic/Latinx (Puerto Rican, Mexican, etc.)

Native American or Indigenous

White

Prefer not to say

Other (please specify)

Could you please indicate which race/ethnicity best describes you? (select all that apply) Other (please specify)

How would you describe your connection to today’s content? Choose as many as they currently apply. *

Patient

Caregiver

Physician

Specialist

Other medical professional

Education professional in a related space

None of these/prefer not to say

Other (please specify)

How would you describe your connection to today’s content? Choose as many as they currently apply. Other (please specify)

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Eating Well, Living Well: Post-Survey