Thiscovery Community Demo

Required

Which, if any, of these are possible symptoms of bowel cancer? *

Select all that apply. Choose only None of these or Not sure if you do not want to select symptoms.

Blood in poo Change in bowel habit lasting 3+ weeks Unexplained weight loss Extreme tiredness A lump in the tummy None of these Not sure

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If you noticed a change like this in yourself, what would you most likely do first? *

Contact my GP Wait to see if it goes away Look it up online Contact NHS 111 Speak to a pharmacist Not sure

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Are you aware of the NHS bowel cancer screening programme? *

Yes, I've taken part Yes, but I haven't taken part No, not aware

If you've been invited to bowel screening but did not take part, what stopped you?

Optional.

Acting on symptoms

Required

How comfortable would you feel talking to your GP about a bowel symptom you were worried about? *

Very comfortable Comfortable Neither comfortable nor uncomfortable Uncomfortable Very uncomfortable

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Where do you usually get health information from? *

Select all that apply.

GP practice NHS website/app Pharmacist Family or friends Social media Community or faith group Other

Please specify

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Please tell us where else you get health information from *

Is there anything that would make it easier for you to act quickly on symptoms or take part in screening?

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Are you responding as: *

A member of the public Someone who has had cancer A carer or family member of someone with cancer A voluntary/community sector representative A health or care professional Other

Please specify

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Please tell us how you are responding *

About you (optional)

These questions are optional. They follow the standard NHS / ICB equality monitoring set and help us check we are hearing from a range of people. You can skip any or all of them, including by choosing Prefer not to say.

What is your age?

Under 16 16–24 25–34 35–44 45–54 55–64 65–74 75–84 85 or over Prefer not to say

What is your sex?

Female Male Prefer not to say

Is the gender you identify with the same as your sex registered at birth?

Yes No Prefer not to say

What is your ethnic group?

Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?

Yes No Prefer not to say

Do any of your conditions or illnesses reduce your ability to carry out day-to-day activities?

Yes, a lot Yes, a little Not at all Prefer not to say

What is your religion or belief?

No religion Christian Buddhist Hindu Jewish Muslim Sikh Any other religion Prefer not to say

Which of the following best describes your sexual orientation?

Straight or Heterosexual Gay or Lesbian Bisexual Other sexual orientation

Please specify

Prefer not to say

Bowel Cancer Awareness Survey

Acting on symptoms

About you (optional)

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