Cancer Health_Fall_2024

Sex and Cancer
Cancer and its treatments can affect your sexual health—including fertility issues for men and women— in a variety of ways. Take our survey and let Cancer Health know about your sexual wellness.
What type(s) of cancer do you have?
How would you rate your overall sexual health?

ExcellentGoodFairPoor
How comfortable are you discussing sexual health topics with your health care provider?

Very comfortableSomewhat comfortableNot at all comfortable
Have you ever had a health care provider who was uncomfortable discussing sexual health topics with you?

YesNo
Have you experienced any pain or discomfort during sex since your diagnosis?

YesNo
Have you experienced any changes in sexual desire or libido since your diagnosis?

YesNo
Have you experienced any issues with sexual satisfaction since your diagnosis?

YesNo
How much has your cancer diagnosis affected your sexual health and relationships?

Severe impactModerate impactMild impactNo impact
Did you discuss fertility preservation options with your health care provider after your cancer diagnosis?

YesNoNot applicable
How would you rate the information and support you have received from your cancer health care team regarding your sexual health?

ExcellentGoodFairPoorI haven’t received any information or support.
What year were you born?
What is your gender?

MaleFemaleTransgenderOther
What is your current level of education?

Some high schoolHigh school graduateSome collegeBachelor's degree or higher
What is your annual household income?

Less than $15,000$15,000-$34,999$35,000-$49,999$50,000-$74,999$75,000-$99,999$100,000 or more
What is your ethnicity? (Check all that apply.)

American Indian or Alaska NativeArab or Middle EasternAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
What is your ZIP code?
Enter the message as it's shown*
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Sex and Cancer