Re-Femme: Your Voice Matters
Thank you for taking a few minutes to share your experience — your input helps Re-Femme make the cancer journey easier for women everywhere.
Your participation in this questionnaire is completely voluntary. The information you share will only be used to improve Re-Femme’s supportive services for women with cancer. At times, responses may be combined with others and shared in an anonymous, aggregate form (for example, in reports or collaborations with hospitals and partner organizations). Your name, professional affiliation, and any identifying details will remain strictly confidential and will never be shared.
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I agree.
Name
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First Name
Last Name
Email
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example@example.com
Specialty
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Hospital Affiliation
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How much time do you typically spend with your patients fielding non-medical concerns (such as beauty/self-image, wellness, or nutrition) alongside their treatment plan?
Less than 10 minutes
10 minutes or more
What are the most common or pressing concerns/topics your female patients discuss with you following a cancer diagnosis?
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Hair Preservation/Hair Restoration
Self Image/Body Image Concerns
Nutrition/Fitness
Other
How do you currently support patients with non-medical concerns?
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Can you tell me about the last time a female patient asked you a question about a product or service to help support them during treatment? (wigs, hair preservation/restoration, fitness, etc)
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What part of that conversation felt the most challenging or frustrating to you?
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How did you handle that challenge and what do you think could have made it easier?
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How do you currently assist your female patients with their non-medical concerns? (beauty/wellness/self image)
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How could we make finding products or services better for patients?
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Submit
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