| For those relatives with whom you did not share your results, please rate each reason on a scale from 1–4 to indicate how much of a role it played in your not sharing the information. | ||||
| a. I do not know some of my relatives very well | 1 | 2 | 3 | 4 |
| b. I do not have a good relationship with some of my relatives | 1 | 2 | 3 | 4 |
| c. I did not believe the information would be useful to them | 1 | 2 | 3 | 4 |
| d. I was concerned about genetic discrimination | 1 | 2 | 3 | 4 |
| e. I did not think the relative could handle the information emotionally | 1 | 2 | 3 | 4 |
| f. I was worried about being responsible for causing problems in a relationship or marriage | 1 | 2 | 3 | 4 |
| g. My relative told me they did not want to know | 1 | 2 | 3 | 4 |
| h. I have not had time to tell my relatives | 1 | 2 | 3 | 4 |
| i. It is difficult to contact some of my relatives | 1 | 2 | 3 | 4 |
| j. A relative was having difficulties and I did not want to burden them | 1 | 2 | 3 | 4 |
| Other:_____ | ||||
1 = No role
2 = A small role
3 = A medium role
4 = A large role