Medical Imaging - Patient Perception for Individuals Undergoing Prostate Care

A bit of background on this survey...

Canon Medical Systems is a leading manufacturer of Medical Imaging Equipment worldwide. Our company is creating a series of Educational Programs that are focused on the many facets of specific pathologies, including Prostate Cancer.

We understand that our patients are more than just their disease, and more than just their time spent in the Imaging Department. As such, we want to educate our employees and customers not only on how a pathology impacts Medical Imaging, but also how it affects the lives of our patients, their loved-ones, and society as a whole. The goal is to advocate for a more holistic and sympathetic approach to the care cycle and, ultimately, to create more effective caregivers.

As such, we are looking for you to provide your insights and advice. What do we, as Medical Providers, do well? Where have we failed you in the past? What do you wish we knew about our patients that they are unable to tell us themselves?

Question Title

* 1. On a scale of 1 - 10, with 10 being the best possible experience and 1 being terrible, how would you rate your experience with the overall Medical Care Cycle revolving around Prostate Cancer?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 2. What recommendations would you make for physicians who are guiding their patients through the cycle of care for Prostate Cancer? What should they know that they may not have picked up at University?

(100 Character Limit)

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* 3. Which of the following imaging tests have you undergone during your prostate care?

(check all that apply)

MRI with Endorectal Coil (a small imaging device is inserted inside the patient's rectum for better visualization of the prostate)

MRI without Endorectal Coil (no devices are inserted into the rectum)

Ultrasound

Radiation Therapy

PSMA-targeted PET/CT (widely available outside of America)

Axumin PET/CT (widely available within America)

choline-11 PET/CT (available at a limited number of centers, including Mayo Clinic)

Question Title

* 4. For the exams that you have undergone, how would you rate the subsequent interpretation of your imaging results?

(check all that apply)

	N/A	Poor / Innacurate	Good / Acceptable	Excellent / Expert Level
MRI with Endorectal Coil	MRI with Endorectal Coil N/A	MRI with Endorectal Coil Poor / Innacurate	MRI with Endorectal Coil Good / Acceptable	MRI with Endorectal Coil Excellent / Expert Level
MRI without Endorectal Coil	MRI without Endorectal Coil N/A	MRI without Endorectal Coil Poor / Innacurate	MRI without Endorectal Coil Good / Acceptable	MRI without Endorectal Coil Excellent / Expert Level
CT	CT N/A	CT Poor / Innacurate	CT Good / Acceptable	CT Excellent / Expert Level
Ultrasound	Ultrasound N/A	Ultrasound Poor / Innacurate	Ultrasound Good / Acceptable	Ultrasound Excellent / Expert Level
Radiation Therapy	Radiation Therapy N/A	Radiation Therapy Poor / Innacurate	Radiation Therapy Good / Acceptable	Radiation Therapy Excellent / Expert Level
PSMA-targeted PET/CT	PSMA-targeted PET/CT N/A	PSMA-targeted PET/CT Poor / Innacurate	PSMA-targeted PET/CT Good / Acceptable	PSMA-targeted PET/CT Excellent / Expert Level
Axumin PET/CT	Axumin PET/CT N/A	Axumin PET/CT Poor / Innacurate	Axumin PET/CT Good / Acceptable	Axumin PET/CT Excellent / Expert Level
choline-11 PET/CT	choline-11 PET/CT N/A	choline-11 PET/CT Poor / Innacurate	choline-11 PET/CT Good / Acceptable	choline-11 PET/CT Excellent / Expert Level

Do you have additional comments regarding the interpretation and explanation of Imaging Results?

(100 Character Limit)

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* 5. On a scale of 1 - 10, with 10 being the best possible experience and 1 being terrible, how would you rate your general experience(s) in the Medical Imaging Department of hospitals and clinics?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. On a scale of 1 - 10, with 10 being the best possible experience and 1 being terrible, how would you rate your experience(s) in the MRI department specifically?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. Was there anything that the staff in the Imaging Department did especially well (something you hope people in this position will continue to do for other future patients):

(100 Character Limit)

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* 8. What was at least one thing that the staff in the Imaging Department could have done better?

(100 Character Limit)

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* 9. Are you willing to share any parts of your story in an Education Program dedicated to Prostate Cancer? If so, please indicate which methods might interest you and leave your contact information so we can possibly follow-up with you!

(Note: we will have limited time to dedicate to each portion of the disease-based program and the patient's perspective is no exception. Some stories may not be shared in the final content).

I would like to share a written story (length can vary)

I would like to tell my story with my own voice (but no video)

I would feel comfortable being in a short video to explain certain portions of my story

I have created art that explains my story and that I would be willing to share

Other (please specify)

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* 10. If you would like to potentially share your story, please leave your contact Information below:

Name

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Medical Imaging - Patient Perception for Individuals Undergoing Prostate Care

A bit of background on this survey...

Question Title

* 1. On a scale of 1 - 10, with 10 being the best possible experience and 1 being terrible, how would you rate your experience with the overall Medical Care Cycle revolving around Prostate Cancer?

Question Title

* 2. What recommendations would you make for physicians who are guiding their patients through the cycle of care for Prostate Cancer? What should they know that they may not have picked up at University?(100 Character Limit)

Question Title

* 3. Which of the following imaging tests have you undergone during your prostate care? (check all that apply)

Question Title

* 4. For the exams that you have undergone, how would you rate the subsequent interpretation of your imaging results?(check all that apply)

Question Title

* 5. On a scale of 1 - 10, with 10 being the best possible experience and 1 being terrible, how would you rate your general experience(s) in the Medical Imaging Department of hospitals and clinics?

Question Title

* 6. On a scale of 1 - 10, with 10 being the best possible experience and 1 being terrible, how would you rate your experience(s) in the MRI department specifically?

Question Title

* 7. Was there anything that the staff in the Imaging Department did especially well (something you hope people in this position will continue to do for other future patients):(100 Character Limit)

Question Title

* 8. What was at least one thing that the staff in the Imaging Department could have done better?(100 Character Limit)

Question Title

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* 10. If you would like to potentially share your story, please leave your contact Information below:

* 2. What recommendations would you make for physicians who are guiding their patients through the cycle of care for Prostate Cancer? What should they know that they may not have picked up at University?

(100 Character Limit)

* 3. Which of the following imaging tests have you undergone during your prostate care?

(check all that apply)

* 4. For the exams that you have undergone, how would you rate the subsequent interpretation of your imaging results?

(check all that apply)

* 7. Was there anything that the staff in the Imaging Department did especially well (something you hope people in this position will continue to do for other future patients):

(100 Character Limit)

* 8. What was at least one thing that the staff in the Imaging Department could have done better?

(100 Character Limit)