function vetAnswers11_9(){ var yes = 0; var no = 0; for (var i=1;i<17;i++) { if (eval('document.xlaapmform11_9.answer' + i + '.value') !='') { yes++; } } if (yes == 16) { return true; } else { alert('Please answer all the questions before submitting'); return false; } } function xlaapmsubmit11_9(){ if (vetAnswers11_9()){ xlaapmxe = window.open('','xlaapmxe','toolbar=0,location=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=350'); document.xlaapmform11_9.submit(); xlaapmxe.focus(); } } function xlaviewresults11_9(){ xlaapmxe = window.open('http://www.sarcomaalliance.org/apm/xlaapmview.asp?p=11&view=1','xlaapmxe','toolbar=0,location=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=350'); } document.write('
1) I find the information \/ support \/ help I am seeking.<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>1 Strongly Agree<\/font><\/td><\/tr>
<\/td>2 Agree<\/font><\/td><\/tr>
<\/td>3 Undecided<\/font><\/td><\/tr>
<\/td>4 Disagree<\/font><\/td><\/tr>
<\/td>5 Strongly Disagree<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
2) The information \/ support I find is valuable \/ useful \/ apppropriate.<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>1 Strongly Agree<\/font><\/td><\/tr>
<\/td>2 Agree<\/font><\/td><\/tr>
<\/td>3 Undecided<\/font><\/td><\/tr>
<\/td>4 Disagree<\/font><\/td><\/tr>
<\/td>5 Strongly Disagree<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
3) Based on my experience with the Peer to Peer program, I am better informed to make decisions about my healthcare.<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>1 Strongly Agree<\/font><\/td><\/tr>
<\/td>2 Agree<\/font><\/td><\/tr>
<\/td>3 Undecided<\/font><\/td><\/tr>
<\/td>4 Disagree<\/font><\/td><\/tr>
<\/td>5 Strongly Disagree<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
4) Based on the information \/ support I received using the Peer to Peer Program, I am motivated to seek a second opinion and\/or change my treatment course.<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>1 Strongly Agree<\/font><\/td><\/tr>
<\/td>2 Agree<\/font><\/td><\/tr>
<\/td>3 Undecided<\/font><\/td><\/tr>
<\/td>4 Disagree<\/font><\/td><\/tr>
<\/td>5 Strongly Disagree<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
5) I feel more connected to others\/less isolated after using this program.<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>1 Strongly Agree<\/font><\/td><\/tr>
<\/td>2 Agree<\/font><\/td><\/tr>
<\/td>3 Undecided<\/font><\/td><\/tr>
<\/td>4 Disagree<\/font><\/td><\/tr>
<\/td>5 Strongly Disagree<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
6) The Peer to Peer program is easy to use.<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>1 Strongly Agree<\/font><\/td><\/tr>
<\/td>2 Agree<\/font><\/td><\/tr>
<\/td>3 Undecided<\/font><\/td><\/tr>
<\/td>4 Disagree<\/font><\/td><\/tr>
<\/td>5 Strongly Disagree<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
7) Did you utilize this service regularly? <\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Yes<\/font><\/td><\/tr>
<\/td>No<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
8) I used the service:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Never<\/font><\/td><\/tr>
<\/td>1-3 times<\/font><\/td><\/tr>
<\/td>3-5 times<\/font><\/td><\/tr>
<\/td>6 or more times<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
9) I am a:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Patient<\/font><\/td><\/tr>
<\/td>Family Member<\/font><\/td><\/tr>
<\/td>Caregiver<\/font><\/td><\/tr>
<\/td>Friend<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
10) The person with sarcoma is:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Newly diagnosed<\/font><\/td><\/tr>
<\/td>In Treatment<\/font><\/td><\/tr>
<\/td>Experiencing recurrence<\/font><\/td><\/tr>
<\/td>At the end of treatment<\/font><\/td><\/tr>
<\/td>After treatment<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
11) The patient\'s sarcoma subtype diagnosis is:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Alveolar Soft Part Sarcoma<\/font><\/td><\/tr>
<\/td>Angiosarcoma<\/font><\/td><\/tr>
<\/td>Chondrosarcoma<\/font><\/td><\/tr>
<\/td>Clear Cell Sarcoma<\/font><\/td><\/tr>
<\/td>Desmoplastic Small Round Cell Tumor<\/font><\/td><\/tr>
<\/td>Endometrial Stromal Tumor<\/font><\/td><\/tr>
<\/td>Epithelioid Sarcoma<\/font><\/td><\/tr>
<\/td>Ewing\'s Sarcoma<\/font><\/td><\/tr>
<\/td>Fibrosarcoma<\/font><\/td><\/tr>
<\/td>Gastrointestinal Stromal Tumor (GIST)<\/font><\/td><\/tr>
<\/td>Hemangiopericytoma<\/font><\/td><\/tr>
<\/td>Leiomyosarcoma<\/font><\/td><\/tr>
<\/td>Liposarcoma<\/font><\/td><\/tr>
<\/td>Malignant Fibrous Histiocytoma<\/font><\/td><\/tr>
<\/td>Malignant Mixed Mullerian Tumor<\/font><\/td><\/tr>
<\/td>Malignant Peripheral Nerve Sheath Tumor (MPNST)<\/font><\/td><\/tr>
<\/td>Osteosarcoma<\/font><\/td><\/tr>
<\/td>Primitive Neuroectodermal Tumor (PNET)<\/font><\/td><\/tr>
<\/td>Rhabdomyosarcoma<\/font><\/td><\/tr>
<\/td>Synovial Sarcoma<\/font><\/td><\/tr>
<\/td>Other<\/font><\/td><\/tr>
<\/td>Unclassified<\/font><\/td><\/tr>
<\/td>Unknown<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
12) The primary sarcoma is located:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Upper Extremity - arms, wrist and hands<\/font><\/td><\/tr>
<\/td>Lower Extremity - legs, ankles and feet<\/font><\/td><\/tr>
<\/td>Abdomen, Trunk<\/font><\/td><\/tr>
<\/td>Chest<\/font><\/td><\/tr>
<\/td>Head, Neck<\/font><\/td><\/tr>
<\/td>Female Reproductive Tract<\/font><\/td><\/tr>
<\/td>Genitourinary<\/font><\/td><\/tr>
<\/td>Heart, Great Vessels<\/font><\/td><\/tr>
<\/td>Central Nervous System - brain, spinal cord<\/font><\/td><\/tr>
<\/td>Other or Unknown<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
13) My age is:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Less than 20<\/font><\/td><\/tr>
<\/td>20 - 29<\/font><\/td><\/tr>
<\/td>30 - 39<\/font><\/td><\/tr>
<\/td>40 - 49<\/font><\/td><\/tr>
<\/td>50- 59<\/font><\/td><\/tr>
<\/td>Greater than 60<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
14) My sex is:<\/b><\/font><\/td><\/tr>
<\/td><\/td><\/tr>
<\/td>Male<\/font><\/td><\/tr>
<\/td>Female<\/font><\/td><\/tr>
 <\/td> <\/td><\/tr>
15) What other organizations have you visited with a similar program? How do we compare?<\/b><\/font><\/td><\/tr>