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. 2016 Apr 4;34(15):1780–1786. doi: 10.1200/JCO.2015.64.5168

Table 2.

Select Survey Questions

Questions related to patient satisfaction with information received
Were You Satisfied With the Amount of Information You Received
Topic Males Females
Treatment-related fertility risks …about the effect of cancer treatment on your fertility (the ability to have a child from your own sperm)? …about the effect of cancer treatment on your fertility (the ability to get pregnant naturally and/or carry a pregnancy)?
 Fertility preservation options …about the option to bank sperm before treatment? …about the option to potentially preserve fertility by freezing eggs or embryos before treatment?
…to help you decide whether you wanted to freeze eggs or embryos before treatment?
 Assistance with referrals …about how to find a sperm bank? …to help you to find a reproductive endocrinologist (fertility specialist)?
 Alternative family-building options …about other options to build a family if you were not able to bank sperm (eg, donor sperm, adoption)? …about other options to build a family if you could not or did not want to preserve fertility before treatment (eg, donor eggs, surrogacy, adoption)?
 Response options related to patient satisfaction questions
  ❑ I was satisfied with the amount of information
  ❑ I was not satisfied—I did not receive enough information
  ❑ I was not satisfied—it was not discussed at all
  ❑ I was not interested in receiving this information, or it was not applicable to me
Questions related to helpfulness of written patient education information provided*
 Did your MSK physician or nurse give you written information about fertility?
  ❑ Yes
  ❑ No—I would have liked this information but did not receive it
  ❑ No—I was not interested in receiving this information
  ❑ I do not remember
 Did you read this information about fertility?
  ❑ Yes—it was helpful
  ❑ Yes—it was not helpful
  ❑ No—I did not read it
  ❑ I do not remember
  ❑ I did not receive written information

Abbreviation: MSK, Memorial Sloan Kettering Cancer Center.

*

Only cohort 2 participants were queried because materials were not available before the program was established. In quantifying helpfulness, only patients who received and read the information were included in the denominator.