JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Movember Cuts & Conversations Post Test
Please complete the post test and estimated outreach goals so we know how best to support your project!
* Indicates required question
Email
*
Record my email address with my response
Full Name
*
Your answer
Email
*
Your answer
The first barbers began practicing their trade in what year?
*
1929
1916
1540
1163
Other:
Men often visit traditional Black barber shops to:
*
Get a hair cut.
For a shave.
To find a job.
To find a church.
To discuss important topics with friends.
To "cut it up."
All of the above.
Male socialization typically:
*
Makes men more likely to go to the doctor.
Helps men to feel valued and appreciated.
Is an evolving social construct.
Required
Some signs of good mental health include:
*
Eating healthy.
Being physically active.
Self-medicating when things are stressful.
Spending time with friends.
Required
The high risk age for testicular cancer is:
*
6-12 years of age.
14-35 years of age.
35-50 years of age.
Men over 50.
When is the best time to get a baseline screening for prostate cancer.
*
65 years old.
50 years old.
40 years old.
Which cancers can you perform a self-exam for?
*
prostate cancer.
testicular cancer.
Required
An elevated PSA blood test means you definitely have cancer.
*
True
False
Project Organization and Planning Guide
List the barber shops you plan to visit:
*
Your answer
Estimate the total number of contacts you anticipate:
*
Choose
Less than 10
10-20
20-40
More than 50
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
