Cervixel
Survey
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Introduction
Dear Participant, Thank you for agreeing to participate in our survey. Your feedback is invaluable to us as we seek to understand the perspectives of women aged 30-50 on cervical cancer screening. Cervical cancer is a significant health issue globally, and early detection through screening is crucial for effective treatment. As part of our efforts to improve screening accessibility and ensure that all women have access to timely and effective screening methods, we are conducting this survey. Your responses will remain confidential and will only be used for research purposes. Please answer each question honestly and to the best of your ability. Your input will help us better understand the needs and preferences of women in our community, and ultimately contribute to improving cervical cancer screening initiatives in Iran. Thank you for your participation and valuable contribution to this important research endeavor. ” Best regards”
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Age
30-34
35-39
40-44
45-49
50-54
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Last Education level:
Less than high school
High school graduate
Some college/technical school
Bachelor’s degree
Postgraduate degree
Marital status:
Single
Married
Widowed
Occupation
Professional
Managerial
Administrative
Service
Technical
Skilled
Unskilled
Student
Homemaker
Retired
A.Awareness and Knowledge
1. How familiar are you with cervical cancer and its risk factors?
Very familiar
Somewhat familiar
I don’t Know
Not very familiar
Not familiar at all
2. Have you heard about cervical cancer screening methods before?
Yes
No
B. Perception of Cervical Cancer Screening:
3. How important do you think cervical cancer screening is for women in your age group?
Very important
Somewhat important
I don’t Know
Not very important
Not important at all
4. What factors do you consider when deciding whether or not to undergo cervical cancer screening? (Check all that apply)
Fear of cancer
Doctor’s recommendation
Cost of screening
Convenience
Previous experience with screening
Other (please specify):
C. Attitudes Towards Screening Methods:
5. Would you prefer to undergo cervical cancer screening at a healthcare facility or through a home-based/selftesting kit?
Healthcare facility
Home-based/self-testing kit
No preference
6. How comfortable are you with the idea of using a self-testing kit for cervical cancer screening?
Very comfortable
Somewhat comfortable
Not very comfortable
Not comfortable at all
D. Experience with Screening Methods:
7. If you have undergone cervical cancer screening before, please rate your satisfaction with the method(s) you used:
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
8. Would you consider switching to a different screening method if it offered advantages over your previous method(s)? (For respondents who have undergone screening before)
Yes
No
Not applicable (for respondents who have not undergone screening before)
9. What methods of cervical cancer screening have you used or are you familiar with?
Pap smear (Pap test)
HPV DNA test
VIA (Visual Inspection with Acetic Acid)
Cervical biopsy
Liquid-based cytology
Cervical cancer screening using self-sampling kits
E. Source of Information:
10. Where do you usually seek information about health-related topics, including cervical cancer screening?
Healthcare providers
Internet/websites
social media
Friends or family members
Television/radio
Printed materials (e.g., brochures, pamphlets)
Other (please specify): __
F. Decision-making Process:
11. When making decisions about your health, how important is it for you to have access to reliable information?
Not important at all
Somewhat important
I don’t Know
Moderately important
Very important
12. How confident are you in your ability to make informed decisions about cervical cancer screening?
Not important at all
Somewhat important
I don’t Know
Moderately important
Very important
G. Future Preferences:
13. What features would you like to see in a cervical cancer screening kit? (Check all that apply)
Easy-to-use instructions
Clear and understandable results
Privacy protection measures
Affordable price
Compatibility with different
Healthcare settings
Other (please specify): ____
H. Wafting time for Results:
14. How important is it for you to receive test results quickly when undergoing cervical cancer screening?
Extremely important
Very important
Somewhat important
Not very important
Not important at all
15. Would you be more likely to use a cervical cancer screening kit if it provided results within a short timeframe?
Yes
Unsure
No
I. Screening Accessible:
16. Do you believe that cervical cancer screening should be readily available to all women, regardless of their geographical location or socioeconomic status?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
17. What factors do you think contribute to limited access to cervical cancer screening in certain communities? (Check all that apply)
Lack of healthcare facilities
Financial constraints
Cultural or societal stigma
Limited awareness about screening
Geographic barriers
lack of information
J. Accessibility Ensured to All:
18. How confident are you that current cervical cancer screening methods are accessible to all women, regardless of their background or circumstances?
Very confident
Somewhat confident
Not very confident
Not confident at all
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