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Do you use the internet for: (circle one number on each line)

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Do you use the internet?

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Directions: We are interested in knowing how your experience of having cancer affects your Quality of Life. Please answer all of the following questions based on your life at this time. Please circle the number from 0 - 10 that best describes your experiences: To what extent are the following a...

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How true or false is each of the following statements for you?

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During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?

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Size of the chosen sticker

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Maintaining e-mail (or digital) contact with: (circle one number on each line)

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Life after cancer Questionnaire about quality of life, use of care, and satisfaction with care, for people who have been treated for non-Hodgkin lymphoma 5 to 15 years ago. Please fill in the questionnaire by yourself, in your own pace. You can answer the questions by checking the box/number...

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What is currently your marital status?

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Do you currentely have a steady partner?

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Do you have children?

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Do you live in the same house with your child(ren)?

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Did cancer affect the relationship with your (former) partner?

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Indicate below which is your highest education level.

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We are interested in your current work situation. Will you please check the answer that best applies to you? It is possible to give more than one answer.

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Which changes have you experienced in your work situation due to cancer?

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Did you have trouble getting (additional) health insurance, because of cancer?

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Did you have trouble getting life insurance, because of cancer?

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Did you have trouble getting mortgage, because of cancer?

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How many times did you have contact with your general practitioner in the past 12 months?

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