Attachment J: Online Survey Form B_Decision Aid

Thank you for taking part in this short survey. Please answer the following questions by selecting the answers that best 
represent your opinions or preferences. 

1. How much of the information in the decision aid did you read and view?
j All of it
k
l
m
n

j Most of it
k
l
m
n

j Some of it
k
l
m
n

2. Why did you view the decision aid?
j I have been diagnosed with localized prostate cancer
k
l
m
n
j I am a survivor of prostate cancer
k
l
m
n

j I am considering screening for prostate cancer
k
l
m
n

j I know someone with localized prostate cancer
k
l
m
n
j I am a physician or other health professional
k
l
m
n
j Other; Please specify:
k
l
m
n

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3. Which of the following changes have resulted from your use of the decision aid today?
[select ALL that apply]
c Increased my knowledge of the symptoms of prostate cancer and how it is diagnosed
d
e
f
g

c Increased my awareness of the types of treatments available in treating prostate cancer
d
e
f
g
c Helped clarify the priorities that are important to me in deciding on treatment options
d
e
f
g

c Changed what I will discuss with my doctor, such as my concerns, preferences, or questions
d
e
f
g

c Changed my decision on whether I will pursue a treatment or watch my condition (active surveillance) at the present time
d
e
f
g
c No change
d
e
f
g

c Other; Please specify: 
d
e
f
g

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6  

4. The amount of information presented was:
j Way too much
k
l
m
n

j Slightly too much
k
l
m
n
j About right
k
l
m
n

j Slightly too little
k
l
m
n
j Way too little
k
l
m
n

5. The information was presented in a logical way.
j Strongly agree
k
l
m
n

j Somewhat agree
k
l
m
n

j Neither agree nor disagree
k
l
m
n
j Somewhat disagree
k
l
m
n
j Strongly disagree
k
l
m
n

6. I was able to find the information I was looking for.
j Strongly agree
k
l
m
n

j Somewhat agree
k
l
m
n

j Neither agree nor disagree
k
l
m
n
j Somewhat disagree
k
l
m
n
j Strongly disagree
k
l
m
n

7. The decision aid helped me understand the treatment options for localized prostate
cancer.
j Strongly agree
k
l
m
n

j Somewhat agree
k
l
m
n

j Neither agree nor disagree
k
l
m
n
j Somewhat disagree
k
l
m
n
j Strongly disagree
k
l
m
n

8. In considering the design of the decision aid, which approach do you think would be
more effective?
j Allow users to skip to content of interest
k
l
m
n

j Require users to view the content in the order it was presented
k
l
m
n
j [Unsure]
k
l
m
n

9. Concerning active surveillance (monitoring symptoms and diseases) and immediate
treatment, the decision aid:
j Favored active surveillance (monitoring symptoms and diseases)
k
l
m
n
j Was balanced
k
l
m
n

j Favored immediate treatment
k
l
m
n
j [Unsure]
k
l
m
n

10. Concerning the immediate treatment options, the decision aid:
j Favored surgical options
k
l
m
n
j Was balanced
k
l
m
n

j Favored radiation options
k
l
m
n
j [Unsure]
k
l
m
n

11. What did you think about the video of the prostate gland and tumor growth?
j I liked this feature
k
l
m
n
j No opinion
k
l
m
n

j I did not like this feature
k
l
m
n
j [I did not see this]
k
l
m
n

12. What did you think about the drawings and pictures explaining the treatment options
(surgery, radiation, and cryoablation)?
j I liked this feature
k
l
m
n
j No opinion
k
l
m
n

j I did not like this feature
k
l
m
n
j [I did not see this]
k
l
m
n

13. 14. How would you rate the usefulness of the "Thinking About Your Priorities" page
(where you are asked to prioritize issues related to your decision on treatment) in helping
a man make a decision about treatment options for prostate cancer?
j Extremely useful
k
l
m
n
j Very useful
k
l
m
n

j Somewhat useful
k
l
m
n
j Not very useful
k
l
m
n

j [I did not see this]
k
l
m
n

14. How would you rate the usefulness of the printable "Information Summary" in helping
a man make a decision about treatment options for prostate cancer?
j Extremely useful
k
l
m
n
j Very useful
k
l
m
n

j Somewhat useful
k
l
m
n
j Not very useful
k
l
m
n

j [I did not see this]
k
l
m
n

15. How would you rate the overall look of the decision aid?
j Excellent
k
l
m
n

j Very good
k
l
m
n
j Good
k
l
m
n
j Fair
k
l
m
n

j Poor
k
l
m
n

16. How would you rate the decision aid as a whole?
j Excellent
k
l
m
n

j Very good
k
l
m
n
j Good
k
l
m
n
j Fair
k
l
m
n

j Poor
k
l
m
n

17. Do you have any comments or suggestions?
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