Significant other/spouse/partner survey on Active Surveillance?
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Did your significant other/spouse  opt for Active Surveillance rather than surgery or radiation for lower-risk prostate cancer (Gleason 6 and favorable Gleason 3+4)?
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What was his Gleason score/Grade Group?
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How old were you at the time he decided on AS?
How old was your significant other when he decided on AS?
What percentage of men who choose AS die of prostate cancer? OK to guess.
What percentage of men on AS are eventually treated at 5, 10, 15 years? OK to guess.
Did you know when Active Suzrveillance was proposed? What role did you play?
Why did the patient decide to go on Active Surveillance?
If you opposed Active Surveillance, why? *
Did you think Active Surveillance was a big risk? 
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Did you favor immediate treatment to address the issue?
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Did you think  Active Surveillance was a big risk?
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How important was potency  to you?
Not important
Very important
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How important was potency – to your partner?
Not important
Very important
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How much did you think your opinion counted in his decision?
Not important
Very important
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What did you think motivated your spouse/partner  choosing AS?

Did your significant other/spouse immediately accept Active Surveillance? *
Did  you think AS wasn't safe? *
What is the patient's Gleason score? *
How long has the patient been on Active Surveillance? *
Did your partner see multiple urologists before settling on one?
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Did the first urologist offer Active Surveillance?
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Did you attend the urology visits where decisions were made about suveillanve vs. treatment??
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On a scale of 1-5, how confident are you in the decision to pursue Active Surveillance?

Lots
None at all
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How often do you discuss your partner's Active Surveillance with them?

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 How much did you think your opinion counted in his decision (1-5)
Lots
Not all
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What did you think motivated your spouse/partner choosing AS?
 How satisfied have you/him been with the outcome of his decision (1-5)
Very
Not all
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How has your partner fared psychologically on Active Surveillance?  
Significant adjustment
No problem
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How have you fared psychologically with your partner's Active Surveillance?
Significant adjustment
No problem
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Does your spouse develop anxiety (SCANciety/Anxious Surveillance)?
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What additional information or support would help you feel more comfortable with your partner's Active Surveillance?

What is your sex?
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Have you had breast cancer, which often is compared to prostate cancer?
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If you were diagnosed with DCIS (Ductal Cancer In Situ)
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Where do you live? *
What country are you from?
Race or ethnicity *
Age *
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