Very Greatly	Greatly	Some	Little/No	Don’t know
11.	Taking the risk of side effects (possible toxicity) involved with the treatment	—	—	—	—	—
12.	The possibility of receiving a “placebo” or no treatment	—	—	—	—	—
13.	Additional laboratory and/or x-ray tests required initially for eligibility	—	—	—	—	—
14.	Additional testing or procedures required throughout treatment	—	—	—	—	—
15.	The possibility of being randomized or assigned to a treatment by chance (like flipping a coin)	—	—	—	—	—
16.	Feeling like I would be treated as a guinea pig	—	—	—	—	—
17.	Concerns that the instructions for participation will be too complex	—	—	—	—	—
18.	Concerns about insurance coverage	—	—	—	—	—
19.	Demands too much of my personal time	—	—	—	—	—
20.	Demands too much from my family members	—	—	—	—	—
21.	Concerns about travel distance or transportation	—	—	—	—	—
22.	Concerns about child care issues	—	—	—	—	—
23.	Difficulty taking time off from work	—	—	—	—	—