1. At the beginning of the questionnaire we kindly request you to give some personal details:
Which group of person do you belong?
 / Patient, currenttreatment /  / Patient, after treatment
 / Relative /  / Others
Age: ______ / type ofcancer :______
Educational qualification : ______ / Gender : male female
2. How satisfied are you with the information on cancer you already received?
1 
very / 2  / 3  / 4  / 5 
not at all
3. Which are the relevant factors, when looking for information on cancer?
(You may tick several points)
 / Roundtheclockavailability /  / Comprehensiveinformation
 / Individual information /  / Sympathyandempathy
 / Anonymity /  / Unchangingcontactperson
 / Possibilitytoinquire /  / High degree of expert know-how
 / Is there something missing? (please add)______
4. Which source of information on cancer did you use until now?
(You may tick several answers)
 / Family and friends /  / Telefone hotline for cancer information
 / Non-medicalpractitioner /  / Internet
 / Direct information from a cancer counseling unit /  / Internet platform
 / Conversation with a physician/ nurse /  / Self-helpgroup
 / Journals, booksorbooklets
 / Is there something missing? (please add)______
5. Which theme you want to get more information to?
(You may tick several answers)
 / Social law (e.g. Rehabilitation, services by health insurance, pension, care) /  / Therapy against the cancer (e.g. operation, radiotherapy, chemotherapy)
 / Diagnostic /  / Nutrition
 / Complementarymedicine /  / Concomitante therapy (e.g. against the pain or other complaints)
 / After-care /  / Sports andphysicalactivity
 / Psyche and cancer (handling a disease) /  / Palliative care (holistic treatment of progressed cancer by shortened life )
 / Others (pleaseadd) : ______
-- The following questions are only for patients:--
6. Do you use at present naturopathy, complementary and/or alternative medicine ?
Yes / No
-- If you answered with “Yes“ continue with question 7, elsewhere with 10 .—
7. If you answered with “Yes“: do you disclosure the CAM use to professionals?
 / Myoncologist /  / Mygeneralpractitioner
 / Other specialist /  / Tonophysician Arzt
 / I cannotremember
8. If you use naturopathy, complementary and/or alternative medicine at present, which one do you use?
 / Supplements (vitamins and trace elements) /  / Medical herbs
 / Chinese herbs/ teas /  / Acupuncture
 / Mistletoe /  / Meditation
 / Medical mushrooms /  / Homeopathy
 / Prayer /  / Yoga / Tai Chi / Qi Gong
 / Relaxation /  / Others: ______

9. Which source of information on naturopathy, complementary and/or alternative medicine did you use until now?

(You may tick several answers)

 / Family andfriends /  / Telefone hotline for cancer information
 / Non – medicalpractitioner /  / Internet
 / Direct information from a cancer counseling unit /  / Internet platform
 / Conversation with a physician/ nurse /  / Selghelpteam
 / Journals, booksorbrochure
 / Something missing (pleaseadd)______

-- The following questions depend on your perception of your disease. You would help us in exploration of the information needs of cancer patients, if you also answer these questions : --

10. In your opinion, what causes the cancer?

(You can tick several answers)

 / Lifestyle (unhealthy nutrition, little sportive activity) /  / Myownpersonality
 / Toxins fromtheenvironment /  / Weakness of the immune system
 / Severe mental trauma /  / Stress
 / Geneticpredisposition /  / Smoking, alcohol
 / I do not know. /  / Something else: ______

11. The following statements can apply more or less to you. Please tick for each statement, which actually fits best.

Not at all true / Hardlytrue / Thisapplies a bit / Moderatlytrue / Excactlytrue
a. I can count on my skills in difficult situations. /  /  /  /  / 
b. I can solve most problems on my own. /  /  /  /  / 
c. Even in difficult and hard problems I can easily find a solution. /  /  /  /  / 

12. For the following questions, please circle the number that best corresponds to your views

How much does your illness affect your life?
0
noaffectat all / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9
How long do you think your illness will continue?
0
a veryshort time / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9
How much control do you feel you have over your illness?
0
absolutelynocontrol / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9
How much do you think your treatment can help your illness?
0
not at all / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9
How well do you feel you understand your illness?
0
I do not understand at all / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9

13. The following statements can apply more or less to you. Please tick for each statement, which actually fits best.

Not at all true / Hardly true / This applies a bit / Moderately true / Excactlytrue
a. I have got my life in my hands. /  /  /  /  / 
b. If I try hard enough, I will be successful. /  /  /  /  / 
c. Whether in privacy or at work: My life is determined by others. /  /  /  /  / 
d. My plans are often thwarted by the fate. /  /  /  /  / 

Thanks!

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