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. 2021 Oct 25;15:1310. doi: 10.3332/ecancer.2021.1310

Table 1. Survey questions. Ten questions were developed for preliminary screening (1–3) and to gather PCa/CRC-related data (4–10).

Survey
1. Do you identify as an AA male?
  • Yes

  • No

2. Do you identify as a HA male?
  • Yes

  • No

3. Are you a male who is at least 18 years old?
  • Yes

  • No

4. Do you know what PCa and colon cancer are?
  • Yes

  • Only PCa

  • Only colon cancer

  • No

5. Have you ever tested for PCa and colon cancer?
  • Yes

  • Only PCa

  • Only colon cancer

  • No

6. There are colon cancer screening tests that can be done at home.
  • Yes

  • No

7. If a PCa screening test that can be done at home were made would you buy and use it?
  • Yes

  • No

8. If a colon cancer screening test that can be done at home were made would you buy and use it?
  • Yes

  • No

9. If any, select what will stop you from doing a cancer test correctly at home? Select all that apply.
  • I am scared.

  • I do not speak English.

  • I cannot read English.

  • I need a doctor or nurse to help me.

  • I have no one at home to help me.

  • I have no one at home who can read English.

  • Nothing. I believe that I can do the test accurately.

  • Other: [Will need to be specified]

10. What will help you do a cancer test correctly at home? Select all that apply.
  • Videos

  • Pictures

  • Online instructions

  • Paper or printed instructions

  • Other: [Will need to be specified]