Prostate Cancer Knowledge and Awareness Level Survey Form |
Gender: |
Age: |
Marital Status: |
Educational Status: |
Cities Where Education Was Given (more than one): |
Income (TL) (… - 2500, 2500 - 5000, 5000 - …): |
Number of Children (If you have): |
Frequency of Newspaper Reading: |
How many books do you read on average per year? |
What is the incidence of prostate cancer in men? |
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In which age ranges is prostate cancer more common? |
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Can women get prostate cancer too? |
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Do you know that the role of the prostate is to carry urine and contribute to the formation of semen? |
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Prostate cancer can occur in men at any age. |
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Did you know that prostate cancer may not show symptoms? |
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In case of early diagnosis can prostate cancer be treated? |
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Which of the following factors do you think increase the risk of prostate cancer? |
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Have anyone of your close relative (father, uncle, sibling) prostate cancer? |
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Did you know that individuals with a family history of prostate cancer have an increased risk of developing prostate cancer? |
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Do you think regular sexual intercourse affects reducing the risk of prostate cancer? |
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Is prostate cancer transmitted during sexual intercourse? |
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How often do you think a man over 50 should have a prostate exam? |
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Do you think that a rectal examination is the only diagnostic method for prostate cancer? |
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What is the source of information about curability of prostate cancer if diagnosed at an early stage? |
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*** Questions to be asked if the individual is male: |
Have you ever been to the urology outpatient clinic? |
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Are you planning to go? |
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Have you had any medical tests for prostate within the last 5 years? |
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Are you afraid of the prostate examination? |
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*** If yes, why?: |
It is said that standing to urinate has a negative effect on1 prostate cancer. Do you think this is true? |
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