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. 2017 Jul 20;4:22. doi: 10.1186/s40814-017-0161-8

Table 3.

Survey structure and example questions

Section Example questions Question type
1. Consent • Do you consent to taking part in this survey? • Multiple choicea
2. About you • No. of years working with people affected by breast cancer?
• How many breast care nurses work on your team?
• Approx. what proportion of your role is spent in the following areas?
• Multiple choice
• Multiple choice
• Scaleb
3. About the patients you meet with breast cancer • What psychological care interventions do you provide to patients with breast cancer? • Multiple choice
FoR definition provided
• In your opinion, what proportion of your patients experience FoR at a moderate level? At a severe level? • Multiple choice
4. About the work you do • Approx. what proportion of patients do you discuss FoR with?
• How is the issue of FoR generally raised? (I always raise a discussion on FoR vs. I only discuss FoR if the patient raises it)
• In your experience, what factors trigger FoR in a breast cancer patient?
• What barriers do you encounter using assessment tools in clinical practice?
• Multiple choice
• Scale
• Freetextc
• Freetext
4. About the support within your team • What kind of formal support do you receive to fulfil your role?
• How would you rate the support you get from your team when helping patients deal with psychological issues? (Extremely supportive vs. Not at all supportive)
• How would you rate the formal support you receive to fulfil your role?
• Multiple answerd
• Scale
• Scale
5. About your preferred support • Have you received training to deal specifically with the area of FoR? • Multiple choice
Brief explanation of the Mini-AFTER intervention provided
• If you were offered a one-day training course to implement the Mini-AFTER intervention, would you accept it? • Multiple choice
6. About other support services you use • If you identify a patient with moderate FoR, which of the following services do you refer them to? With severe FoR?
• How do you decide which service to refer your patient to when they have FoR?
• Multiple answer
• Freetext
7. Follow-up Explanation of Phase 2 of the study provided
• Would you be willing to take part in a telephone interview?
• Would you be interested in delivering the Mini-AFTER intervention in a future study?
• Multiple choice
• Multiple choice

aMultiple choice questions allow respondents to pick just one answer from a list of pre-defined answers

bScale questions ask respondents whether they agree or disagree with a number of statements, to rate items on a scale, or to rank items in order of importance

cFreetext questions allow respondents to type their answers in their own words

dMultiple answer questions allow respondents to pick more than one answer from a list of pre-defined answers