Name _________________________________ (Optional) Age: _____
This is a brief survey to obtain information from men > 50 years of age on their knowledge about Prostate Cancer and their awareness of the various screening tests and treatments available.
1. What are your current beliefs and thoughts about Prostate Cancer?
2. Have you been tested? If not, why?
3. Where do you get your information about prostate cancer?
4. What would you like to see in the way of making information available to the general public?