Prostate Cancer Research Survey Background to the survey The Prostate Cancer Charity would like to hear your views on prostate cancer research. In particular, the Charity would like to know if there are areas, or issues about prostate cancer – including its causes, diagnosis, treatment and the experience and needs of people affected by the disease – where you feel more research is needed to help overcome some of the gaps in our knowledge about the disease. By taking part in this short survey you can tell us your priorities for prostate cancer research – the survey will take approximately 10 minutes to complete. The results of the survey will be used to inform the work of the Prostate Cancer Priority Setting Partnership (PCPSP). The PCPSP is a partnership between the Prostate Cancer Research Foundation, the Prostate Cancer Support Federation and the James Lind Alliance. This partnership was set up to identify uncertainties about prostate cancer that need to be addressed through research and they have asked The Prostate Cancer Charity to contribute to this work. The Prostate Cancer Charity is a member of the PCPSP Steering Group. The Prostate Cancer Charity will also use the results to inform its own research programme and policy work. Who should take part? The survey is open to: Men who have, or have had prostate cancer The partners, family members, friends or carers of men who have, or have had prostate cancer Healthcare professionals Closing date: 16th October 2009 Please turn the page to start the survey. 1 Complete the survey Please answer the questions by entering an ‘x’ in the relevant box, or writing your own comments when asked to. 1. Which of the following sentences best describes you? (tick the relevant box): I am a man who has, or has had prostate cancer I am the partner, family member, friend or carer of a man who has, or has had prostate cancer I am a healthcare professional (please specify) Other (please specify) 2. Where do you currently live? England Scotland Wales Northern Ireland Other (please specify) 3. Do you agree or disagree with the following statement “There is a need for greater investment in research into prostate cancer in order to properly address the gaps in our existing knowledge of the disease” Agree Disagree Don’t know 2 4. Please list the areas where you feel more research is needed into prostate cancer. 3 5. Please explain why you feel more research is needed in each of the areas you listed in the previous question. 4 6. How would you rate the importance of the following areas of research into prostate cancer? Please put the following areas of research into order of priority, where 1 = top priority and 8 = lowest priority. Please tick only one box for each research area. 1 2 3 4 5 6 7 8 Research into the causes of prostate cancer Research into the prevention of prostate cancer Research into a better diagnostic test for prostate cancer Research into a test that can differentiate between slow growing (pussycats) and aggressive (tigers) forms of prostate cancer Research into more effective treatments for prostate cancer Research into the impact of diet and lifestyle on prostate cancer Research into complementary therapies for prostate cancer Research into the best ways to support men (and their families) living with prostate cancer Additional information The following questions are optional. 7. Contact details Name Address Email 5 8. Age (tick the relevant box) Less than 35 65 – 69 35 – 44 70 – 74 45 – 54 75 – 79 55 – 59 80 – 84 60 – 64 85 and over 9. How would you describe your ethnic origin? (Please select one answer) White British (including English, Scottish and Welsh) White Irish White Other Black African Black Caribbean Black Other Asian Indian Asian Pakistani Asian Bangladeshi Asian Other Mixed White and Black Caribbean Mixed White and Black African Mixed White and Asian Mixed Other Chinese Other Ethnic Group I do not want to give this information 6 10. Please tell us the stage of your prostate cancer when you were diagnosed with the disease (tick relevant box). Localised Locally advanced Advanced Don’t know Not applicable 11. Please tell us the stage of your prostate cancer now (tick relevant box). Localised Locally advanced Advanced I do not have prostate cancer anymore Don’t know Not applicable 12. The Charity may want to use some of the comments you have made in this survey in external reports and press releases. Using the following options, please tell us whether you are happy for your comments to be used (tick the relevant box): I am happy for my comments to be used with my name I am happy for my comments to be used anonymously I do not want my comments used publicly 13. Can the Charity contact you in the future with information about other opportunities for you to tell us about your experience of prostate cancer and help influence the development of its services, campaigns and other work? Yes No 7 14. The Charity may want to contact you about its services and other ways you can support its work. If you do not want to receive this information, please tick here Thank you Thank you for taking the time to complete the survey. Your contribution to this important piece of work is very important to us. What we will do with the results? The results of the survey will be used to inform the work of the Prostate Cancer Priority Setting Partnership (PCPSP). The PCPSP is a partnership between the Prostate Cancer Research Foundation, the Prostate Cancer Support Federation and the James Lind Alliance. This partnership was set up to identify uncertainties about prostate cancer that need to be addressed through research. For more information about the PCPSP visit www.thepcrf.org.uk. The Prostate Cancer Charity will also use the results to inform its own research programme and the development of the Charity’s policy and campaigns. Further information If you would like more information about the Charity’s research programme and policy and campaigns work, please visit www.prostate-cancer.org.uk. If you have a question about this survey please contact the Charity by emailing voices@prostate-cancer.org.uk or by calling 0208 222 7622. 8