• Questionnaire for Partners Supporting a Partner Through Cancer

  • This questionnaire is designed for romantic and relationship partners of individuals who are currently undergoing cancer treatment or are in survivorship. Your experiences, challenges, and needs are often overlooked in cancer care, yet they are vital in shaping meaningful support resources.

    Your responses are completely confidential, and we appreciate your time and honesty.

  • 1. Background Information:

  • What is your current relationship status with your partner? (Select all that apply)
  • How long have you and your partner been together?
  • At what stage of the cancer journey is your partner?*
  • What type of cancer has your partner been diagnosed with? (Select all that apply)*

  • Section 2: Emotional and Relationship Impact

  • How has your partner’s cancer journey affected your relationship?(Select all that apply)*
  • What emotions have you personally experienced while supporting your partner through cancer? (Select all that apply)*
  • Have you had access to emotional support (e.g., therapy, support groups, counseling) during your partner’s cancer journey?*

  • Section 3: Intimacy and Sexuality

  • How has your partner’s cancer journey affected your intimacy and sexual relationship? (Select all that apply)*
  • Would you find resources on intimacy and sexuality during and after cancer helpful?*
  • What kind of support or information would be helpful to navigate intimacy and relationship changes? (Select all that apply)*

  • Section 4: Support and Resource Needs

  • What challenges have you faced in supporting your partner? (Select all that apply)*
  • What types of resources or programs would help you feel more supported as a partner? (Select all that apply)
  • Do you feel that medical providers adequately acknowledge the challenges faced by partners of cancer patients?*

  • Thank you for taking the time to share your experiences. Your invaluable insights will will contribute to research aimed at improving relationship and intimacy support for couples navigating cancer.

    If you are interested in future resources, programs, or support groups, please let us know how we can keep you informed. Send us an email at info@cancerandintimacy.com

  • OPTIONAL: Would you be open to being contacted for an interview?

    This is completely optional, but we'd love to talk with you about your responses if you're open to sharing more with us. If you are, please include your contact details below and we'll reach out. 🙏🏻
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