LGBTQIA+ Cancer Services Northern Ireland

The Rainbow Project in partnership with Macmillan Cancer Support

Question Title

* 1. What gender do you identify with ?

Male

Female

Non-Binary

Prefer not to say

Prefer to self-describe (please specify)

Question Title

* 2. Do you identify as Trans?

Yes

Prefer not to say

Question Title

* 3. Do you identify as Intersex?

Yes

Prefer not to say

Question Title

* 4. What is your Sexual Orientation?

Lesbian

Gay

Bisexual

Pansexual

Queer

Asexual

Prefer to self-describe (please specify)

Question Title

* 5. What age are you?

18-29

30-44

45-59

60-74

75+

Question Title

* 6. Do you have a disability or long term health condition?

Yes

Prefer not to say

If yes, please specify:

Question Title

* 7. What county do you live in ?

Antrim

Down

Armagh

Derry/Londonderry

Fermanagh

Tyrone

Question Title

* 8. What is your relationship status?

Single

In a relationship

Cohabiting

Married

Civil partnership

Separated

Dissolved Civil Partnership

Divorced

Prefer not to say

Question Title

* 9. Ethnicity

Question Title

* 10. Do you have a diagnosis of cancer?

Yes

Waiting on test results

Question Title

* 11. If yes, what type of Cancer?

Question Title

* 12. Does a member of your family have a diagnosis of cancer?

Yes

Waiting on test results

Question Title

* 13. If yes, what type of Cancer

Question Title

* 14. Does a close friend of yours have a diagnosis of cancer?

Yes

Waiting on test results

Question Title

* 15. If yes, what type of cancer?

Question Title

* 16. Have you, your family member/ friend had any support since the diagnosis?

Yes

Question Title

* 17. If yes, what type of support ?

Medical

Emotional

Practical (e.g. homecare)

Financial - (e.g. benefits entitlement)

Question Title

* 18. When did you receive the support?

At diagnosis

During Treatment

After Treatment

Question Title

* 19. Who supplied this support? (Tick as many as apply)

Macmillan Cancer Support

Friends

Family

Did not receive support

Other support organisations/sources (please specify)

Question Title

* 20. Have you accessed any Cancer Screenings before?

Yes

Prefer not to say

Question Title

* 21. Do you have any comments about how the screening process has been for you?

Question Title

* 22. If you have accessed medical care for a cancer diagnosis, did you feel able to share your sexual orientation/gender identity with the clinical team?

Yes

I didn't think it was relevant

Question Title

* 23. Did you or your family member/friend receive reading materials, leaflets or information about cancer treatment and support?

Yes

Not Sure

Question Title

* 24. Did you feel the materials you received were inclusive and respectful of your sexual orientation/gender identity?

Yes

Partially

Question Title

* 25. If no, please state what was not inclusive and whether there was any information you needed which we could provide.

Question Title

* 26. What would you like to see as part of the LGBTQIA+ Cancer Champions project? This is a new service The Rainbow Project will run supported by Macmillan. (Tick as many as apply)

One to one support

Safe space cafes holding events

LGBTQIA+ Training for medical teams & other charities

Peer Support Groups

LGBTQIA+ cancer experiences more prominent in media, podcasts etc.

Research into experiences of LGBTQIA+ people in cancer care

Other suggestions (please specify)

Question Title

* 27. Would you be open to being contacted about further participating in a steering group to help support the work The Rainbow Project and Macmillan are doing to improve experiences for LGBTQIA+ people impacted by cancer?  We will not send you any spam emails and your contact details will be held in line with GDPR.

Yes

LGBTQIA+ Cancer Services Northern Ireland

The Rainbow Project in partnership with Macmillan Cancer Support

Question Title

* 1. What gender do you identify with ?

Question Title

* 2. Do you identify as Trans?

Question Title

* 3. Do you identify as Intersex?

Question Title

* 4. What is your Sexual Orientation?

Question Title

* 5. What age are you?

Question Title

* 6. Do you have a disability or long term health condition?

Question Title

* 7. What county do you live in ?

Question Title

* 8. What is your relationship status?

Question Title

* 9. Ethnicity

Question Title

* 10. Do you have a diagnosis of cancer?

Question Title

* 11. If yes, what type of Cancer?

Question Title

* 12. Does a member of your family have a diagnosis of cancer?

Question Title

* 13. If yes, what type of Cancer

Question Title

* 14. Does a close friend of yours have a diagnosis of cancer?

Question Title

* 15. If yes, what type of cancer?

Question Title

* 16. Have you, your family member/ friend had any support since the diagnosis?

Question Title

* 17. If yes, what type of support ?

Question Title

* 18. When did you receive the support?

Question Title

* 19. Who supplied this support? (Tick as many as apply)

Question Title

* 20. Have you accessed any Cancer Screenings before?

Question Title

* 21. Do you have any comments about how the screening process has been for you?

Question Title

* 22. If you have accessed medical care for a cancer diagnosis, did you feel able to share your sexual orientation/gender identity with the clinical team?

Question Title

* 23. Did you or your family member/friend receive reading materials, leaflets or information about cancer treatment and support?

Question Title

* 24. Did you feel the materials you received were inclusive and respectful of your sexual orientation/gender identity?

Question Title

* 25. If no, please state what was not inclusive and whether there was any information you needed which we could provide.

Question Title

* 26. What would you like to see as part of the LGBTQIA+ Cancer Champions project? This is a new service The Rainbow Project will run supported by Macmillan. (Tick as many as apply)

Question Title

Question Title

* 28. If yes, please provide email address

* 7. What county do you live in ?