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Resource Guide 3rd Edition Survey

Page One

The Colorado Ovarian Cancer Alliance (COCA) is dedicated to supporting women who have been diagnosed with ovarian cancer. COCA’s Colorado Ovarian Cancer Resource Guide is provided to women in Colorado to assist them through the ovarian cancer journey. Please take a few minutes to share your thoughts about the Resource Guide.

1. In the last 12 months, did you receive a Resource Guide from COCA?

2. If no, what would be the best way for you to find out about and receive a Resource Guide?

3. If yes, how did you receive the Resource Guide?

Nicki's Circle
Ordered online
Picked up/Delivered to me
Other (explain below)

Comments

4. If picked up or delivered, who provided the Resource Guide to you?

5. Please check the boxes that reflect your experience with the Colorado Ovarian Cancer Resource Guide. How did you find the information?

Space Cell	5 (especially useful)	4 (very useful)	3 (useful)	2 (partially useful)	1 (not useful)
Getting Started	Getting Started: 5 (especially useful)	Getting Started: 4 (very useful)	Getting Started: 3 (useful)	Getting Started: 2 (partially useful)	Getting Started: 1 (not useful)
Ovarian Cancer Facts	Ovarian Cancer Facts: 5 (especially useful)	Ovarian Cancer Facts: 4 (very useful)	Ovarian Cancer Facts: 3 (useful)	Ovarian Cancer Facts: 2 (partially useful)	Ovarian Cancer Facts: 1 (not useful)
Managing Surgery and Chemotherapy	Managing Surgery and Chemotherapy: 5 (especially useful)	Managing Surgery and Chemotherapy: 4 (very useful)	Managing Surgery and Chemotherapy: 3 (useful)	Managing Surgery and Chemotherapy: 2 (partially useful)	Managing Surgery and Chemotherapy: 1 (not useful)
Genetic Considerations	Genetic Considerations: 5 (especially useful)	Genetic Considerations: 4 (very useful)	Genetic Considerations: 3 (useful)	Genetic Considerations: 2 (partially useful)	Genetic Considerations: 1 (not useful)
Finding Support	Finding Support: 5 (especially useful)	Finding Support: 4 (very useful)	Finding Support: 3 (useful)	Finding Support: 2 (partially useful)	Finding Support: 1 (not useful)
Financial Assistance	Financial Assistance: 5 (especially useful)	Financial Assistance: 4 (very useful)	Financial Assistance: 3 (useful)	Financial Assistance: 2 (partially useful)	Financial Assistance: 1 (not useful)
Managing Costs, Insurance & Legal Issues	Managing Costs, Insurance & Legal Issues: 5 (especially useful)	Managing Costs, Insurance & Legal Issues: 4 (very useful)	Managing Costs, Insurance & Legal Issues: 3 (useful)	Managing Costs, Insurance & Legal Issues: 2 (partially useful)	Managing Costs, Insurance & Legal Issues: 1 (not useful)
Complementary Therapies	Complementary Therapies: 5 (especially useful)	Complementary Therapies: 4 (very useful)	Complementary Therapies: 3 (useful)	Complementary Therapies: 2 (partially useful)	Complementary Therapies: 1 (not useful)
Survivorship	Survivorship: 5 (especially useful)	Survivorship: 4 (very useful)	Survivorship: 3 (useful)	Survivorship: 2 (partially useful)	Survivorship: 1 (not useful)
Transitions	Transitions: 5 (especially useful)	Transitions: 4 (very useful)	Transitions: 3 (useful)	Transitions: 2 (partially useful)	Transitions: 1 (not useful)
Books of Interest	Books of Interest: 5 (especially useful)	Books of Interest: 4 (very useful)	Books of Interest: 3 (useful)	Books of Interest: 2 (partially useful)	Books of Interest: 1 (not useful)
Colorado Cancer Centers and Clinics	Colorado Cancer Centers and Clinics: 5 (especially useful)	Colorado Cancer Centers and Clinics: 4 (very useful)	Colorado Cancer Centers and Clinics: 3 (useful)	Colorado Cancer Centers and Clinics: 2 (partially useful)	Colorado Cancer Centers and Clinics: 1 (not useful)
National Ovarian Cancer Resources	National Ovarian Cancer Resources: 5 (especially useful)	National Ovarian Cancer Resources: 4 (very useful)	National Ovarian Cancer Resources: 3 (useful)	National Ovarian Cancer Resources: 2 (partially useful)	National Ovarian Cancer Resources: 1 (not useful)
Multicultural Resources	Multicultural Resources: 5 (especially useful)	Multicultural Resources: 4 (very useful)	Multicultural Resources: 3 (useful)	Multicultural Resources: 2 (partially useful)	Multicultural Resources: 1 (not useful)
Raising Awarness	Raising Awarness: 5 (especially useful)	Raising Awarness: 4 (very useful)	Raising Awarness: 3 (useful)	Raising Awarness: 2 (partially useful)	Raising Awarness: 1 (not useful)

6. What suggestions do you have to make the Resource Guide more useful and helpful?

7. Please check the appropriate boxes. Since receiving the COCA Resource Guide, I have:

Space Cell	yes	Have not yet but plan to	no
Visited the COCA website	Visited the COCA website: yes	Visited the COCA website: Have not yet but plan to	Visited the COCA website: no
Singed up online to receive COCA's monthly e-newsletter	Singed up online to receive COCA's monthly e-newsletter: yes	Singed up online to receive COCA's monthly e-newsletter: Have not yet but plan to	Singed up online to receive COCA's monthly e-newsletter: no
Attended a Nicki's Circle Support Group	Attended a Nicki's Circle Support Group: yes	Attended a Nicki's Circle Support Group: Have not yet but plan to	Attended a Nicki's Circle Support Group: no
Applied for COCACares financial assistance	Applied for COCACares financial assistance: yes	Applied for COCACares financial assistance: Have not yet but plan to	Applied for COCACares financial assistance: no
Increased my knowledge of ovarian cancer	Increased my knowledge of ovarian cancer: yes	Increased my knowledge of ovarian cancer: Have not yet but plan to	Increased my knowledge of ovarian cancer: no
Increased my knowledge of COCA	Increased my knowledge of COCA: yes	Increased my knowledge of COCA: Have not yet but plan to	Increased my knowledge of COCA: no
Shared my knowledge of COCA with others	Shared my knowledge of COCA with others: yes	Shared my knowledge of COCA with others: Have not yet but plan to	Shared my knowledge of COCA with others: no
Contacted COCA with questions	Contacted COCA with questions: yes	Contacted COCA with questions: Have not yet but plan to	Contacted COCA with questions: no
Registered to participate in Jodi's Race for Awareness	Registered to participate in Jodi's Race for Awareness: yes	Registered to participate in Jodi's Race for Awareness: Have not yet but plan to	Registered to participate in Jodi's Race for Awareness: no
Applied to volunteer with COCA	Applied to volunteer with COCA: yes	Applied to volunteer with COCA: Have not yet but plan to	Applied to volunteer with COCA: no

Comments

8. Where do you live?

Comments

9. How old are you?

10. Do you have a family history of cancer? (Check all that apply)

Comments

11. What is your ethnic background? (optional)

Comments

12. Please share any additional comments about COCA"s Colorado Ovarian Cancer Resource Guide.

13. May we use the comments in #12 as a quote in COCA marketing materials?

Thank you for taking our survey. Your response is very important to us! We appreciate you taking the time to share your thoughts, experience and feedback with us.

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