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These are a list of quant and qual questions, and questions that can be used for IEC using TDF/COM-B frameworks
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These questions can be used to do a multi-domain Gap Analysis in your community, which in turn can be used to structure IEC materials
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COM B DOMAINSCOM B SUBDOMAINS TDF DOMAINTDF SUBDOMAINSAPPLICATION IN CCNEEDS ASSESSMENT QUALITATIVE QUESTIONSNEEDS ASSESSMENT QUANTITATIVE QUESTIONSSAMPLE INTERVENTIONS(IEC) FOR TDF DOMAININTERVENTION(IEC) ASSESSMENT ( can be used pre/post or both)
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CapabilityPsychological Capability1Knowledge1. Knowledge (including knowledge of condition /scientific rationale)
2. Knowledge of Procedure
3. Knowledge of task environment
Awareness and understanding of cervical cancer, its causes, and screening and prevention methods. Knowledge that cervical cancer is caused by HPV, that screening detects precancer early, and knowing where and how to get screened. Lack of knowledge is a key barrier for both women and providers.What do you know about cervical cancer ? I am aware of the recommended schedule for cervical cancer screening. (1-5)Education: community videos, posters, street plays, school outreach, local-language IEC; interactive sessions explaining HPV and screening;After watching the video/ listending to the script, did you learn more about cervical cancer and the importance of getting screened?
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What do you know about cervical cancer screening?Cervical cancer can develop and grow with no or few symptoms (Y/N)Capacity-building workshops for CHWs, providers on updated guidelines.Did the script/video change what you know about cervical cancer screening? How? Probes: Cause? How to prevent it?
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How do you think CCS could impact your health?Women betwwen 30-65 , even if they feel fine and don't have any symptoms should get screened for CC (Y/N)What did you learn about cervical cancer screening from the script? a) Cause? b) Frequency? c) Symptoms? d) How to prevent it? e) Can you explain in your own words what the main message of the video was?
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Do you know how to get screened for CC?Has any healthcare worker informed you about cervical cancer screening? (Y/N)Did the video make you feel more informed about cervical cancer screening? How?
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Do you think that you would somehow know if you are at risk for CC? That there would be some signs or symptoms? I am aware that women are offered screening regularly (Y/N) Can you explain in your own words what the main message of the script was?
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Who should get screened for cervical cancer?There are tests that can detect CC early (Y/N)Were there any specific points where you felt the script could be improved?
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Early Detection can change the survival/outome for CC. (Y/N)What new information did you learn that you didn’t know before?
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Screening can detect changes in the cervix before it turn into cancer (Y/N)How did the script address any misconceptions or concerns you may have had about cervical cancer screening?
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 Regular Screeing can prevent cerviical cancer (Y/N)All women age 30-65 should get screened for CC (T/F)
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Early Detection can save lives from CC.(Y/N),(1-5)There are multiple ways to get screened for CC (Y/N)
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I am aware that anyone can be at risk for cervical cancer (Y/N)Anyone whose CCS is positive will almost certainly get CC (T/F)
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Do you consider yourself at risk for cervical cancer (1-5)If you don't have any symptoms, there is no need to get screened for CC (T/F)
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If cervical cancer is treated early, survival is more likely. (Y/N)Do you feel that the video/script gives clear information about how to get screened (1-5)
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You can develop CC and not have symptoms for many years (Y/N)
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CapabilityPsychological Capability2Memory, Attention, and Decision Processes4. Memory
5. Attention
6. Attention control
7. Decision making
8. Cognitive overload/tiredness
The ability to retain information, focus selectively on aspects of the environment and choose between two or more alternatives for CCS, Remembering screening schedules, deciding whom to refer for colposcopy; avoiding distractions or cognitive overload during camps.Can you describe how you remember to attend screening appointments?I often forget scheduled cervical screening appointments. (Agree/Disagree)Cues and Reminders- cards, SMS, EHR alertsI can recall key information from the educational video about cervical cancer screening. (Y/N)
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What strategies do you use to remember screening?I usually remember my regular health checkups. (1-5)Goal setting with patients for screening uptake; action planning and progress trackingNow that you have seen the video, what are the key steps for CCS?
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Have you even been screened for CCS? How was the experience?I use reminders (SMS, calendar) to attend cervical screenings. (Yes/No)The video helped me make decisions about cervical cancer screening. (Y/N)
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What are the key steps for CCS?If I understand the reason I should get screened, I will pursue CCS (1-5)I felt overwhelmed by the information in the video/script.(Y/N)
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I find CCS too complicated, so I want to avoid it (1-5)I was able to understand the contents of the video/script (1-5)
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Do you think the script makes it clear why getting screened for cervical cancer is important?
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After listening to the script/ seeing the video, Do you feel you could explain the cervical screening process to someone else?
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CapabilityPsychological/Physical Capability3Behavioural Regulation 9. Self-monitoring
10. Breaking habit
11. Action planning
Control and autonomy to get screened. Strategies and processes used to manage or modify behavior to achieve goals. Anything aimed at managing or changing objectively observed or measured actions for CCS. Using screening registers, reminder calls, follow-up logs, or visual dashboards; ASHAs self-monitoring their monthly outreach targets; building habits like checking screening status during every OPD visit.Does your family prioritize health ? How do you make health care decisions in your family?I have a clear plan of how I will make time to plan and attend my pap smear test. (Y/N)Data viz for tracking, After learning from this video/script, tell us how would you get screened for CCS?
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If you decide CCS is important, do you think you can manage to get it done? How would you go about it?How anxious/nervous do your feel about getting CCS? (1-5)Regular performance review and goals for providersAfter watching this video/listening to the script , how anxious/nervous are you about getting CCS? (1-5)
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What health maintenance behavoirs are important to you?How embarrased do your feel about getting CCS? (1-5)Follow up reminders for CCS + casesAfter watching this video/listening to the script , how embarrased do your feel about getting CCS? (1-5)
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What fears do you have about CCS? Probe: cost, pain, stigma, embarrasmentHow painful do you think CCS will be? (1-5)After watching this video/listening to the script , how painful do you think CCS will be? (1-5)
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If we could provide a health intervention that could save your life, do you think it is worthwhile getting a pelvic exam for this? (1-5)After watching this video/listening to the script , do you think it is worthwhile getting a pelvic exam for CCS? (1-5)
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 It is completely up to me whether or not I get my cervical cancer screening done. (1-5)
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CapabilityPsychological/Physical Capability4Skills12. Skills
13. Skills development
14. Competence
15. Ability
16. Interpersonal skills
17. Practice
18. Skill assessment
Practical and interpersonal abilities needed to carry out screening or related health behaviors effectively. Acquired through practice. Managing travel, work and household duties and navigating other barriers.Providers’ technical skills in performing Pap, VIA, or HPV self-collection; counseling women about results; or managing abnormal findings. CHWs’ communication and mobilization skills to educate and encourage women. Women’s skill in performing self-collection confidently and correctly.How difficult is it for you to obtian CCS one you decide to get screened? What sort of barriers would you encounter? How could you navigate them? Level of difficulty to obtain CCS once you decide to get CCS. (1–5). Digital/print media/visual aids to provide intsructions, referesher coursesAfter viewing this video, I think I have the necessary skills to collect a HPV DNA sample. (Y/N)
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Do you know how to find information about affordable cervical cancer screening options in your area? Are you confident that you know how to get screened for CC? (Y/N) Simulation-based learning; mentorship programs;After watching this video/listening to the script, how would you get screened for CCS?
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Can you walk me through your process for scheduling and attending cervical cancer screenings?I can talk to my doctor and schedule a cervical cancer screening. (Y/N)Training & Skill Drills: hands-on practice, visual checklists, peer supervision;
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How confident are you that you can overcome any barriers (e.g., cost, transportation) to getting screened for cervical cancer?How diffiicult would it be tomanage childcare for the time you need to get CCS done (1-5)Training in self-sampling HPV tests; instructional sessions for Pap smear technique
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How confident are you that you can find a way to get to a cervical cancer screening appointment if you didn't have transportation? (1-5)
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I can take time off work/household duties as neeeded for CCS (1-5)
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Opportunity Physical Opportunity5Environmental Context and Resources19. Environmental stressors
20. Resources/material resources
21. Organisational culture/climate
22. Salient events/critical incidents
23. Person × environment interaction
24. Barriers and facilitators
Aspects of the physical, organizational, and policy environment that influence behavior, discourages or encourages CCS. The development of skills and abilities, independence, social competence and adaptive behaviour needed for CCS, Circumstances or physical environment that support/deter behaviour. Availability of screening materials, privacy, space, colposcopes, thermal ablation devices; accessibility of clinics; system readiness; supportive policies and referral pathways. "I know where and how to access screening"What helps you access screening services? What deters from you getting screened? There are enough screening facilities available to me. (Agree/Disagree).
Environmental Restructuring & Enablement: mobile screening vans; privacy screens;With this IEC, I now know where and how to access cervical cancer screening in my community. ( 1-5)



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Given a choice, where would you prefer to get screening? At home? PHC? Mobile camp?Tertiary care clinic in the city?The distance of the CCS location from my home will affect whether I attend my appointment. (1-5)Ensure access- supply chain, technical and personnel infrastructure, decrease travel Does the video address barriers specific to your community? What parts of the script make getting screened for cervical cancer encouraging?
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Are there any community resources or services in your area that provide cervical cancer screening or education? Tell us more about them.Availability of transport (public or personal) to the screening centre might affect me attending my appointment. (1-5)Reducing barriers- cost barriers, distance to high quality clinics, expanding appointment hoursIs there anything that we didn’t cover in the script that is still making you hesitant to get screened? What are some factors that might discourage you from getting screened that we did not cover?
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How easy or difficult is it for you to access cervical cancer screening services in your area? Being able to get time off work affects whether I can attend health checkups. (1-5)Because of this IEC I can now find resources in my community to get regular health screenings. (Y/N)
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What aspects of your life make it easier or harder to get screened for cervical cancer? (Facilitators/Barriers)Being able to have someone to take care of my children affects whether I can attend health checkups. (1-5)After watching this video, do you feel more confident you can access screening? (Y/N)
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Being able to get time off from household responsibilities affects whether I can attend health checkups. (1-5)This video/script helps me feel more empowered to get CCS. (Y/N)
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CCS facilities/ professionals readily accessible for you? Y/NWhat about this video/script convinces you to get CCS?
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What are some factors in the script that might discourage you from getting screened?
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Is there anything that we didn’t cover in the script that is still making you hesitant to get screened? What are some factors that might discourage you from getting screened that we did not cover?
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What parts of the script make getting screened for cervical cancer encouraging? Why?
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Credibility - do you feel like this video is from a credible source/what could improve its credibility?
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OpportunitySocial Opportunity6Social Influences25. Social pressure
26. Social norms
27. Group conformity
28. Social comparisons
29. Group norms
30. Social support
31. Intergroup conflict
32. Power
33. Group identity
34. Alienation
35. Modelling
Those interpersonal processes, Influence of others (family, peers, leaders) that can cause individuals to change their thoughts, feelings, or behaviours about CCS. Interpersonal processes influencing behaviours.Family encouragement or opposition; influence of husbands or mothers-in-law; peer group examples (“other women in the village did it”); stigma or taboo around gynecological exams.Community norms about modesty, endorsements from religious or local leaders, and supportive supervision among providers.How do friends/family/colleagues influence your screening decisions? The female members of my family and my friends have been screened for cervical cancer. (Y/N) Social Modeling & Norm Change Campaigns: women champions, husbands’ involvement, group counseling, peer educators;If I show this video to your friends and family, I think this will help them understand cervical cancer and the importance of screening. (1-5).
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How do you percieve the importance of the health of women in you family?  I will have support from my family and friends to get screened for cervical cancer.   (1-5)Male engagement- peers, community leadersHow does this video affect how you discuss CC with your friends and family ?
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Do you feel cancer screening is relavant to your family? Why or Why not ?  Members of my community will encourage me to get screened for cervical cancer.   (1-5)Community leader and influencer engagementAfter watching this video, would you feel uncomfortable around someone with HPV? (Y/N)
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if you knew someone who got screened for CC, do you think this will impact your decision to get screened? How important is good health in your family? My family/peers support my attendance at cervical screenings. (1-5)Testimonials by community leaders, peer advocates, and family involvement in health education Based on the script/video, my friends, family, and I will encourage each other to have regular screening. (1-5).
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How do your family’s opinions influence your decisions and goals about your health? My friends and family will support me in having regular screening. (1-5). Peer advocates Bc of this video, I will encourage my friends and family to get screenef. (Y/N)
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What does you community think about women's health? Do you agree? Why or Why not?My family, friends, and people I vaule approve of me getting CCS tests (1-5)Celebrity adovocatesAfter this IEC, I think my family/friends/community will encourage me to get screened? (1-5)
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Would you and your community members be interested in watching this video based on the script? Do you feel comfortable discussing cervical cancer screening with a trusted family member or friend? (1-5)Family involvement in health educationDo you see yourself or others you know reflected in the characters in the script? Why or why not?
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Women's health is just as important as everyone elses' health. (Y/N) Did the characters seem realistic and believable to you? a) What did you think of the ASHA worker? Did she see trustworthy? Friendly? b) X character? Y Character?
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If someone close to me gets screened, I am more likely to do so as well.(Y/N)In regards to cervical cancer screening, what do you see as your role in your community?
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My family membersand friends get CC screening tests.(Y/N)
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MotivationReflective Motivation7Beliefs about Capabilities36. Self-confidence
37. Perceived competence
38. Self-efficacy
39. Perceived behavioural control
40. Beliefs about ability
41. Self-esteem
42. Empowerment
43. Professional Confidence		Confidence ability to navigate screening , ability to make time and navigate barriers for the desired task. Acceptance of the truth, reality or validity about an ability, talent or facility that a person can put to constructive use, Can Make time to access screening, ability to manage travel, navigating barriers (work/household duties). Confidence of providers to screen correctly or treat positive cases. Confidence of women to undergo screening or self-collect samples; perceived ability to manage discomfort, fear, or stigma., overcoming embarrassment, ASHAs’ confidence in discussing sensitive topics.Do you feel you are able to access cervical screening? I am confident I can /attend cervical screening. (1-5)




IEC to build confidenceBecause of this IEC, I am confident in my ability to make informed health decisions about cervical cancer prevention(1-5)

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How confident are you in your ability to schedule and go to a cervical cancer screening appointment?It is completely up to me whether or not I get my cervical cancer screening done (1-5)Survivor stories/testimonialsBased on this video, you feel you can change your risk for cervical cancer. (1-5)
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What kind of difficulties would you encounter to get CCS? How would you overcome them?You feel you can change your risk for CC(1-5)Supervised practice What parts of the video make getting screened for cervical cancer encouraging?
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Do you think your health is important enough to make investements in, to take on some hardships to protect?How good do you think screening is at preventing cervical cancer. (1-5). Peer support networksWhat are some factors that might discourage you from getting screened?
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How confident are you that you can overcome any barriers (e.g., cost, transportation) to getting screened for cervical cancer?Do you think the test would be accurate in detecting your risk for cervical cancer? (1-5) Confidence-building workshops for patients on attending screening; reassurance from clinicians After this IEC , I can manage any barriers I may have in getting cervical cancer screening. (1-5).
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How easy or difficult do you think it would be for you to find a way to pay for a cervical cancer screening if you couldn't afford it?How confident are you that you can find a way to get to a cervical cancer screening appointment if you didn't have transportation? (1-5)After this IEC,How do you think you can change your risk for CC?
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How confident are you that you can manage any anxiety or fear you may feel about getting screened for cervical cancer? (1-5)
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How easy or difficult do you think it would be for you to cope with any emotional distress related to a cervical cancer screening? (1-5)
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How confident are you that you can make informed decisions about your health? (1-5)
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I can take time off work/household duties as neeeded for CCS (1-5)
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If I go through CCS, there is a possibility the doctors may tell me something is wrong, when nothing is wrong with me? (1-5)
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You feel you can change your risk for CC(1-5)
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MotivationReflective Motivation8Beliefs about Consequences44. Outcome expectancies
45. Chars. of outcome expectancies (b)
46. Beliefs
47. Anticipated regret
48. Consequents

Understand and accept the facts or perceptions about CCS , postiive or negative. Women believing screening leads to better health versus fear that it may cause pain, infertility, or social stigma; providers’ beliefs about whether screening improves patient outcomes or increases their workload.Women’s beliefs about what happens after screening—fear of cancer diagnosis, worry about infertility or marital rejection; belief that early detection leads to cure; providers’ beliefs about screening impact on workload or patient trust.What do you see as the benefits/risks of cervical screening? It is completely up to me whether or not I get my cervical cancer screening done. (1-5)IEC/Counseling - to address myths or fears about screening outcomesDo you think the script/video makes it clear why getting screened for cervical cancer is important? (1-5)
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How will your relationship with your family be influenced by cervical cancer screening? Do you believe that cervical cancer screening will significantly reduce your risk of severe illness? (Strongly Agree / Agree / Neutral / Disagree / Strongly Disagree)IEC emaphasizing ,that screening PREVENTS , not detects cancersDo you think the script/ video akes it clear why getting screened for cervical cancer is important?
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Do you believe that a negative CCS will reassure you? The benefits of getting screened outweigh any challenges I may face. (1-5) Counseling to address misconceptions, discussing consequences of screening/non-screeningOnce you veiw this video/script with your family, how will your relationship with your family be influenced by cervical cancer screening?
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Do you think CCS can have a meaningful impact. on your health? Why or Why not? Protecting women's health should be very important to families. How true is the statement (1-5)After viewing this video, how do you see the benefits and risks regarding cervical cancer screening?
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How would you feel if your CCS was negative?I expect CCS to be painful/unpleasant (1-5)Based on the script, are there more benefits or risks to screening for cervical cancer? Why?
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Who is at risk for CC? I expect CCS to be embarrasing (1-5)After listening to the script,watching the video how important do you think screening for cervical cancer is for women's overall health?
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Why do you think the government/your provider/NGO is recommending CCS? Your relationship with your family will be affected by your cervical cancer screening choices(1-5) After listening to the script,watching the video , do you think it is worthwhile going through the pain/discomfor of a pelvic exam? (1-5)
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If I go through screening, I am worried about getting a cancer diagnosis. (1-5) After listening to the script,watching the video , do you think it is worthwhile going through the pain/discomfor of a pelvic exam? Why or Why not?
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Do you feel the consequences of avoiding screening are serious? (Strongly Agree / Agree / Neutral / Disagree / Strongly Disagree)Do you think the benefits outweigh your concerns regarding cervical cancer screening?
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Cervical screening reduces my risk of cervical cancer. (1-5)How did the script address any misconceptions or concenrns you may have had about cervical cancer screening?
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The benefits outweigh the discomfort and inconvenience of getting screened Y/NWhat parts of the script make getting screened for cervical cancer encouraging?
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I think getting cervical cancer screening can make a significant positive impact on my health and quality of life. (1-5) What are some factors in the script/video that might discourage you from getting screened?
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Either I or somebody I know is likely to develop cervical cancer (1-5)After viewing this video, how do you see the benefits and risks regarding cervical cancer screening?
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A woman of my age is unlikely to develop cervical cancer" T/FBased on the script, are there more benefits or risks to screening for cervical cancer? Why?