| Please consider each of the following reasons for choosing to share your results with family members. Rate each reason on a scalc from 1–4 to indicate how much of a role it played in deciding to share your BRCA1/2 test results with family members. | ||||
| a. I felt obligated to share the information | 1 | 2 | 3 | 4 |
| b. I was encouraged by the health professional | 1 | 2 | 3 | 4 |
| c. I made an agreement to tell them before receiving my results | 1 | 2 | 3 | 4 |
| d. I was encouraged by other family members to share the information | 1 | 2 | 3 | 4 |
| e. I felt the information could help my relatives in making medical decisions | 1 | 2 | 3 | 4 |
| f. I was asked about the result by a family member | 1 | 2 | 3 | 4 |
| g. I needed emotional support from my family members | 1 | 2 | 3 | 4 |
| h. I needed advice from my family members in making medical decisions | 1 | 2 | 3 | 4 |
| i. I wanted to provide them information about their risk | 1 | 2 | 3 | 4 |
| j. I wanted to encourage them to get tested | 1 | 2 | 3 | 4 |
| Other:_____ | ||||
1 =No role
2= A small role
3 = A medium role
4 = A large role