Online Health & Wellbeing Toolkit (Advanced Cancer) - Page 1 of 3 - NI Direct

Introduction

1. Please tell us about your background. Are you?

(Required) A person living with cancer Family member/Friend Health Care Professional General public Other (Please state)

2. What Trust area are you in? (Professionals should state the Trust they work in)

(Required) Northern Western Southern South Eastern Belfast Other (Please state)

3. How did you hear about this toolkit? (Tick all that apply)

(Required) Health Care Professional (e.g. Nurse, GP, Social Worker etc.) Family member or a friend Another person living with cancer Flyer/poster Internet search Other (Please state)

4. If you are a person living with cancer which cancer team are you seen by? (Tick all that apply)

Breast Colorectal Gynaecology Haematology Lung Prostate Skin Upper gastro-intestinal (e.g. stomach, oesophagus, pancreas) Palliative Care Other (Please state)

5. Which video/s have you watched? (Tick all that apply)

(Required) Eating Well to stay well When eating is difficult Syringe drivers None

6. How satisfied were you with the information you viewed?

(Required)

7. Are there other topics or information that would be useful to include in this toolkit? (Please give details in the box below)

(Required)

8. If you have any other comments or suggestions for improvement please state below

(Required)