Cancer Cloud Kit - Healthcare professionals

1. Job title & place of work

2. What age are your patient's children?

Space Cell	0-3 yrs	3-5 yrs	6-11 yrs	12-18 yrs	18+
First Child	First Child: 0-3 yrs	First Child: 3-5 yrs	First Child: 6-11 yrs	First Child: 12-18 yrs	First Child: 18+
Second Child	Second Child: 0-3 yrs	Second Child: 3-5 yrs	Second Child: 6-11 yrs	Second Child: 12-18 yrs	Second Child: 18+
Third Child	Third Child: 0-3 yrs	Third Child: 3-5 yrs	Third Child: 6-11 yrs	Third Child: 12-18 yrs	Third Child: 18+
Fourth Child	Fourth Child: 0-3 yrs	Fourth Child: 3-5 yrs	Fourth Child: 6-11 yrs	Fourth Child: 12-18 yrs	Fourth Child: 18+
Fifth Child	Fifth Child: 0-3 yrs	Fifth Child: 3-5 yrs	Fifth Child: 6-11 yrs	Fifth Child: 12-18 yrs	Fifth Child: 18+
Six Child	Six Child: 0-3 yrs	Six Child: 3-5 yrs	Six Child: 6-11 yrs	Six Child: 12-18 yrs	Six Child: 18+

3. What is your relationship between your patient and with the child/ren? *This question is required.

Please enter an 'other' value for this selection.

4. Which Cancer Cloud Kit (s) did you use/deliver to the patient? *This question is required.

5. How long has your patient been diagnosed with cancer?

6. What stage of the cancer care pathway is your patient at? *This question is required.

7. What are the reasons you gave the Cancer Cloud Kit to your patient? (Tick all that apply) *This question is required.

The patient wanted help to tell their children about their cancer diagnosis
You thought the patient would benefit using the kit with their children
The patient wanted to understand what children need to know and what they can understand
Other (please comment) Please enter an 'other' value for this selection.

8. Before using the kit had your patient communicated with their children about their cancer diagnosis? *This question is required.

No
Yes
A little bit
An adult known to the child has spoken to them
A healthcare professional has spoken to the children
Other (please comment) Please enter an 'other' value for this selection.

The next questions explore how useful the tools were inside the Cancer Cloud Kits. Depending on which kit you used please fill in the relevant page section.

Cancer Cloud Kit - Healthcare professionals

You and your patient