Questionnaire, Part 3
| PLEASE TICK WHICH OF YOUR TEAM MEMBERS (INCLUDING YOURSELF) has a MAJOR ROLE in discussing patient problems in the following areas.(You may tick more than one box for each area). | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Surgeon | Oncologist | Breast care nurse | Radiologist | Radiographer | Research nurse | Clinic nurse | Ward nurse | Chemo nurse | Other (please state) .................................................... | |
| Physical well being (i.e. pain, side effects, lethargy) | ||||||||||
| Functional well being (i.e. work, sleeping) | ||||||||||
| Sexual well being (i.e. attractiveness, personal relationships) | ||||||||||
| Social well being (i.e. social activities, relationship with family and friends) | ||||||||||
| Psychological/ emotional well being (i.e. depression, anxiety, hope) | ||||||||||