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Sources
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Questions
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Persons
Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems during the past week.
We are interested in certain things about you and your health. Please answer all the questions by yourself by checking the box that suits you most. There are no right or wrong answers.
Many people find a way of using their medicines which suits them. This may differ from the instructions on the label or from what their doctor has said. We would like to ask you a few questions about how you use your medicines
How do you feel about the new medication that has been prescribed to you after your cancer?
Now we would like to ask you a few questions about your personal opinion regarding the medication that has been prescribed to you. Below are a couple statements other people said about their medication. Could you indicate whether you agree or disagree on these statements by checking the box that...
Please fill in the questionnaire by yourself, in your own pace. You can answer the questions by checking the box/number that applies best to your situation. If you are not sure, please answer the question by choosing the answer that is closest to your situation. There are no right or wrong...
You have indicated that you have had trouble getting life insurance. What was the outcome?
You have indicated that you have had trouble getting (additional) health insurance. What was the outcome?
Please indicate for each condition whether it interferes with your activities or not.
