Section 1: About You
What is your age?*
What is your gender?*
Which region do you belong to?*
Section 2: General Awareness
Have you heard of breast cancer before?*
How did you hear about breast cancer? (Select all that apply)
Which of the following statements do you think are true? (Select all that apply)
What do you think risk factors of breast cancer could be? (Select all that apply)
Do you know anyone who has had breast cancer?*
Section 3: Symptoms and Understanding
Which of these do you think can be a sign of breast cancer? (Select all that apply)
Do you believe breast cancer can be treated if found early?*
Section 4: Screening & Checkups
Have you ever heard of a breast check-up (self-exam or clinical exam)?*
Do you know how to check your breasts for changes?*
Have you ever been screened for breast cancer (exam or mammogram)?*
At what age do you think you should start screening for breast cancer?
Section 5: Knowledge of Treatment Options
Do you believe breast cancer can be treated?*
Which of the following do you think are treatments for breast cancer? (Select all that apply)
Do you know that early treatment increases the chance of survival?*
Have you or someone you know received treatment for breast cancer?*
Section 6: Access and Experience with Treatment
Where would you go if diagnosed with breast cancer?*
Do you know if breast cancer treatment is covered by government health schemes or insurance in your area?*
Would you be able to travel for treatment if needed?*
Section 7: Challenges and Beliefs
If you felt a lump in your breast, what would you do?*
What are some reasons women in your village may avoid going to the doctor for breast problems? (Select all that apply)
What challenges do women face in getting cancer treatment in your area? (Select all that apply)
Do you believe breast removal (surgery) is always needed in treatment?*
Do you think cancer patients should continue treatment even if it takes many months?*
Section 8: Health Education Preferences
Have you ever attended a health talk on breast cancer?*
Would you attend a free breast health awareness session if it was held in your village?*
Would you like to receive health tips via SMS or WhatsApp?*
Would you prefer getting treatment at a local health center if it was available?*
Would support from a health worker or counselor make it easier to get treatment?*
In what form would you prefer to receive breast health information? (Select all that apply)
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