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Asking Questions - The Definitive Guide To Questionnaire Design ...

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ASKING QUESTIONS THAT MEASURE KNOWLEDGE 187<br />

Figure 6.6. <strong>Questions</strong> About Health Knowledge.<br />

1. a. In your opinion, what are the symptoms of breast cancer? (Do not read<br />

categories. Circle all that apply.)<br />

A lump<br />

Dimpling of the breast<br />

Pain or soreness in breast<br />

Change in shape or color of nipple or breast<br />

Bleeding or discharge from nipple<br />

Other (Specify)<br />

Don’t know<br />

b. Although breast cancer can occur at different ages, after what age do<br />

you think it is most likely to occur?<br />

(Age) ______<br />

Don’t know<br />

2. If breast cancer is found early and treated right away, how likely do you<br />

think it is that a woman will be able to do most of the things she could<br />

do before? Do you think it is . . .<br />

Very likely,<br />

Likely, or<br />

Not very likely?<br />

Don’t know<br />

3. What kind of examinations do you know of that can be done to find breast<br />

cancer in its early stages? (Do not read categories. Circle all that apply.)<br />

Breast self-examination (Skip to Q. 5)<br />

Breast examination by doctor<br />

Mammography (X-ray examination)<br />

Other (Specify)<br />

4. Have you ever heard of an examination a woman can do by herself to<br />

see if there are any signs that something may be wrong with her breasts?<br />

Yes<br />

No<br />

5. Do you think that cigarette smoking is or is not one of the causes of<br />

lung cancer?<br />

Yes, is<br />

No, is not<br />

No opinion<br />

(continued)

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