Prostate cancer awareness campaign 2024

The purpose of this survey is to learn about your experience with the Prostate Cancer Risk in Black Community Campaign.

Data collected from respondents will be kept confidential. Your participation is completely voluntary. If you decide not to complete the survey, your relationship with CCS will not be affected.

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* 1. Rate the Prostate Cancer Risk in Black Community Campaign using the following statements:

	Strongly agree	Agree	Disagree	Strongly disagree	Don’t know	Not applicable
The information is relevant to me	The information is relevant to me Strongly agree	The information is relevant to me Agree	The information is relevant to me Disagree	The information is relevant to me Strongly disagree	The information is relevant to me Don’t know	The information is relevant to me Not applicable
The information is easy to understand	The information is easy to understand Strongly agree	The information is easy to understand Agree	The information is easy to understand Disagree	The information is easy to understand Strongly disagree	The information is easy to understand Don’t know	The information is easy to understand Not applicable
I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry)	I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry) Strongly agree	I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry) Agree	I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry) Disagree	I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry) Strongly disagree	I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry) Don’t know	I learned a lot about the increased risk of prostate cancer in Black men (including men of African or Caribbean ancestry) Not applicable
My interest in learning more about prostate cancer and early detection has increased	My interest in learning more about prostate cancer and early detection has increased Strongly agree	My interest in learning more about prostate cancer and early detection has increased Agree	My interest in learning more about prostate cancer and early detection has increased Disagree	My interest in learning more about prostate cancer and early detection has increased Strongly disagree	My interest in learning more about prostate cancer and early detection has increased Don’t know	My interest in learning more about prostate cancer and early detection has increased Not applicable
I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer	I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer Strongly agree	I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer Agree	I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer Disagree	I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer Strongly disagree	I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer Don’t know	I intend to continue to explore the Canadian Cancer Society’s website to learn more about prostate cancer Not applicable
I intend to talk to my healthcare team about my risk of prostate cancer	I intend to talk to my healthcare team about my risk of prostate cancer Strongly agree	I intend to talk to my healthcare team about my risk of prostate cancer Agree	I intend to talk to my healthcare team about my risk of prostate cancer Disagree	I intend to talk to my healthcare team about my risk of prostate cancer Strongly disagree	I intend to talk to my healthcare team about my risk of prostate cancer Don’t know	I intend to talk to my healthcare team about my risk of prostate cancer Not applicable
I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health	I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health Strongly agree	I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health Agree	I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health Disagree	I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health Strongly disagree	I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health Don’t know	I intend to talk to my family member or friend, who may be at higher risk of prostate cancer because of their ethnicity or family history, about their risk and how they can take action for their health Not applicable
I intend to talk to my provider about if the PSA test is right for me	I intend to talk to my provider about if the PSA test is right for me Strongly agree	I intend to talk to my provider about if the PSA test is right for me Agree	I intend to talk to my provider about if the PSA test is right for me Disagree	I intend to talk to my provider about if the PSA test is right for me Strongly disagree	I intend to talk to my provider about if the PSA test is right for me Don’t know	I intend to talk to my provider about if the PSA test is right for me Not applicable
I intend to explore Black community support organizations or groups who focus on prostate cancer	I intend to explore Black community support organizations or groups who focus on prostate cancer Strongly agree	I intend to explore Black community support organizations or groups who focus on prostate cancer Agree	I intend to explore Black community support organizations or groups who focus on prostate cancer Disagree	I intend to explore Black community support organizations or groups who focus on prostate cancer Strongly disagree	I intend to explore Black community support organizations or groups who focus on prostate cancer Don’t know	I intend to explore Black community support organizations or groups who focus on prostate cancer Not applicable
I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer	I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer Strongly agree	I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer Agree	I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer Disagree	I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer Strongly disagree	I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer Don’t know	I intend to refer my family member or friend to Black community support organizations or groups who focus on prostate cancer Not applicable

Question Title

* 2. The purpose of this campaign is to raise awareness among the Black community about the risk of prostate cancer. If you are a member of the Black community, which of the following best describes your gender identity.

Man

Woman

Non-binary or third gender

Prefer not to say

Not a member of the Black community

Prefer to self-describe:

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* 3. What is your age?

24 years old or under

25 to 44 years old

45 to 64 years old

65+ years old

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* 4. How did you hear out about the Prostate Cancer Risk in Black Community Campaign? (select all that apply)

Link on website (please specify below)

Link in an online ad

Facebook

Instagram

Radio

Family or friend

Searching online

News

Podcast

Other (please specify):

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* 5. Please provide any final comments about the Prostate Cancer Risk in Black Community Campaign.

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* 6. Sign up to complete a follow-up survey by including your email.

Your personal information is being collected for the purpose of inviting you to take part in a follow-up survey in 2 months. This survey will give you the opportunity to share what you have learnt about prostate cancer and help to improve future awareness campaigns. All data collected will be used in a form that will make it impossible to determine the identity of individual respondents.

I agree to be contacted by the Canadian Cancer Society to participate in a future similar survey about my experience with the Prostate Cancer Risk in Black Community Campaign and its long-term impact on my knowledge about prostate cancer and engagement in early detection.

Email

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* 7. Privacy Disclosure
We collect your personal information through forms, by phone or in person to manage your participation in the program, inform you about other services and contact you to provide updates about our impact and ways to support us or give. We may also use your information for program evaluation and quality assurance. We may share your personal information with third parties including service providers, consultants and advisors outside your province or territory or outside of Canada only to carry out the purposes identified above, or as required by law. We may contact you by mail, email, phone or text. You can exercise your right to access your information or have it corrected, unsubscribe from communications or withdraw your consent by calling 1-888-939-3333 or emailing privacy@cancer.ca. For more information about our privacy practices, visit cancer.ca/privacy.

I consent:

Yes