This survey concerns aspects of personal health and wellbeing and some sensitive issues around a particular illness.  The results will be used to inform the development and launch of a new product. There are a number of important issues that we need to cover in this survey.  It should take you about 10 minutes to complete.

Before you continue, please confirm the following: You agree not to disclose the contents of the survey to anyone else. You also agree that any ideas discussed or generated as a result of your participation will belong to our client.
	I agree

Also, this survey is designed to be completed by women over the age of 18. (We may be back to speak to the men at a later date.) Please confirm that you are female and over 18 years of age:
	I am female and over 18 years of age

Please click on the NEXT button below to start...

About you

How old are you?
	18 to 24 years
	25 to 34 years
	35 to 44 years
	45 to 54 years
	55 to 64 years
	65 to 74 years
	75 years or older

About you

What is your marital status?
	Single (never married)
	Married / Cohabiting
	Divorced / separated
	Widowed

About you

Please can you provide the first part of your postcode, e.g. PL31?

How many adults age 18 or over permanently live in your household?

How many children age 17 and under do you have in your household?

About you

Which of the following best describes your occupation?
	Higher managerial, administrative or professional occupations - e.g. an experienced doctor, accountant, lawyer or solicitor; a Board Director in a large company
	Intermediate management, administrative or professional occupations - e.g. a doctor, accountant, lawyer with less than three years’ experience; a Board Director of a small to medium company; a senior manager or department manager; teachers who are head of departments or year groups; self-employed workers with more than 10 employees
	Supervisor, clerical or junior management, administration or professional - e.g. a student doctor or accountant; customer service representatives or bank clerks; junior professional work or junior management; teachers without management responsibility; self-employed manual workers with between 4 and 10 employees
	Full time student
	Ambulance driver; Police Constable; self-employed manual workers with 1-4 employees
	Shop work or manual work - e.g. building, apprentices to trades; caretakers, park keepers, postmen and women; bus conductor or traffic wardens; shop assistants or check out workers
	Not working or working only occasionally
	Retired

About you

On average how many hours of paid employment do you undertake a week?
	Retired/Not in paid employment
	0 - 8 hours
	9 - 16 hours
	17 - 24 hours
	25 - 35 hours
	36 - 48 hours
	More than 48 hours

Does your work involve you working ‘unsociable’ hours, e.g. shift work, night work, 10 hours or more a day, etc?

Yes

No

Don't know

About you

What is your highest level of education?
	No formal qualifications
	GCSE or O Level or NVQ  levels 1 / 2
	A/S Level or A level or equivalent
	Foundation degree or equivalent professional qualification
	First degree (i.e. BA, BSc, BEng) or equivalent professional qualification
	Higher degree or equivalent professional qualification
	Don't know
	Other... please describe:

About your lifestyle

Over the past four weeks, how many times on average (per week) have you taken part in physical activity (including sports, walking, heavy gardening etc.) in which you were active for 30 minutes or more?
	None		1		2 - 4		5 - 7		8 - 10		11 - 15		16+		Don't know

Are you currently on a diet?
	Yes - I’m on a supervised diet for medical purposes
	Yes - I’m on a self-regulated diet to lose weight
	No - But I monitor what I eat to maintain my weight / figure
	No - I’m not dieting and eat whatever I want
	Other... please describe:

About your lifestyle

How many units of alcohol do you drink in an average week? (A pint of beer generally contains 2 to 3 units, a standard glass of wine is 2 units and a single whisky is 1 unit.)

I do not drink alcohol

1 - 3 units

4 - 7 units

7 - 14 units

15 - 21 units

22 to 27 units

More than 27 units

Don't know

How much do you smoke?
	Heavy smoker (40 cigarettes/2oz tobacco a day)
	Moderate smoker (20 - 40 cigarettes/1oz tobacco a day)
	Light smoker (less than 20 cigarettes or under 1oz of tobacco a day)
	Social smoker (Do not smoke every day)
	I do not smoke at all

About breast cancer

We would now like to ask you what you know, or think you know, about breast cancer.  Please note, this is not a scientific study and our questions are designed to only test awareness and perceptions. We have tried to be as sensitive and respectful as possible. We would be grateful if you can answer as fully and truthfully as you can.  However, if there are any questions that you are not happy to answer or you wish to leave blank for any reason, then we will understand.

Which, if any, of the following do you think are linked to an increased risk of developing breast cancer? Please tick all that apply.
	Age		Hormone replacement therapy for treating the menopause		Wearing a bra
	Family history		Not breast feeding		Having an abortion or miscarriage
	Defective genes		Alcohol		Breast implants
	Have been previously diagnosed		Being overweight		Tobacco smoke
	Race / Ethnicity		Diet and vitamins		Working night shifts
	Not having children / Having first child after age 30		Lack of exercise / physical activity		None of the above
	Use of oral contraceptives		Antiperspirants

About breast cancer

Which of the following statements do you think are true and which do you believe are false?
		True	False	Don't Know
	Only women can develop breast cancer
	Most cases of breast cancer are linked to a family history of breast cancer
	There is more than one form of breast cancer
	1 in 8 women in the UK will develop breast cancer at some point in their life
	Women can develop lumps in their breasts prior to their period
	Breast cancer is the most commonly diagnosed cancer in the UK
	Approximately 8 out of every 10 women diagnosed with breast cancer are aged 50 or over

About your health

To what extent do you agree or disagree with the following statements?
		Disagree strongly	Disagree somewhat	Neither agree nor disagree	Agree somewhat	Agree strongly	Don't Know
	I am primarily responsible for ensuring my own good health
	I trust the NHS to provide me with the best treatment should I become ill
	I never seem to have enough time in the day to exercise
	There is too much information about how to stay healthy that I don’t know what to trust
	I am very aware of changes in my own body that I know when something is wrong
	I often experience aches and pains in my body that I have simple explanations for (e.g. not enough sleep, poor diet, etc.)
	Sometimes I get aches, pains or changes in my body for which I should probably consult my GP but don't
	Other than routine screenings and check-ups, I only ask to see my GP when I know there is something wrong.

About your health

Which, if any, of the following do you have in your home? Please tick all that apply.
	Thermometer for taking body temperature		TENS machine
	First Aid box		Circulation booster
	Scales for weighing yourself		Foot spa
	A maintained stock of non-prescription medicines (i.e. paracetamol, anti-histamines, indigestion tablets, etc)		Cholesterol monitor
	Blood pressure monitor		Blood glucose monitor
	A maintained stock of dietary supplements (e.g. vitamins, minerals, etc)		None of the above
	Homeopathic remedies

Are there any other health related devices, not on the list, that you keep at home?

Histories of breast cancer

We are returning to the theme of breast cancer. Once again, we try to be as sensitive and respectful as possible with our questions and we are grateful if you can answer as fully and truthfully as you can.  However, if there are any questions that make you feel uncomfortable or you do not wish to answer for any reason, then please leave the question blank.

Is there a history of breast cancer in your family? Please tick all that apply.
	Yes - I have or have had breast cancer
	Yes - someone in my immediate family (e.g. mother, sister or daughter) has had breast cancer
	Yes - another relation(s) or member of my distant family has had breast cancer
	No
	Don't know

Histories of breast cancer

Regarding your own breast cancer, what is your situation now?
	Have recovered, had surgery to remove the cancer or am in remission
	Treatment is on-going
	Not having treatment or have stopped treatment
	Don’t know or would prefer not to say

Regarding the breast cancer among immediate or other family, was the treatment they received successful? (If there has been more than one incidence, please tell us about the most recent.)
	Yes - they are fully recovered / in remission
	Treatment is on-going
	No - the treatment was not successful
	Don’t know

Histories of breast cancer

Have any of your close friends or colleagues ever been diagnosed with breast cancer?

Yes

No

Don't know

And was the treatment they received successful? (If there has been more than one incidence, please tell us about the most recent.)
	Yes - they are fully recovered / in remission
	Treatment is on-going
	No - the treatment was not successful
	Don’t know

Examining for breast cancer

Have you ever had your breasts examined - or do you examine yourself - to check for lumps or unexpected changes? Please tick all that apply.
	Yes - by a doctor or other health professional
	Yes - self examination (or by someone else who is not a doctor or health professional)
	No

How often on average do you self-examine your breasts for lumps or unexpected changes?
	I do it every day
	At least weekly
	At least monthly
	At least every 3 months
	At least every 6 months
	At least annually
	Less frequently

How often on average do you have your breasts examined?
	At least monthly
	At least every 3 months
	At least every 6 months
	At least annually
	At least every 3 years
	Less frequently

Examining for breast cancer

What prompts or prompted you to examine your breasts for lumps?
	It’s part of my regular routine
	Someone I know was diagnosed with breast cancer so I thought I’d better check my own breasts
	I noticed a change in my breast and thought it best to check them
	I checked them in response to a breast cancer awareness campaign
	Recommended by a medical professional, e.g. GP, nurse, health screening routine, etc.
	Some other reason - please write in...

Examining for breast cancer

Why do you not self-examine your breasts?
	Never thought about it
	I’m afraid of what I might find
	I prefer a medical professional to do it
	I don’t know how to do it properly
	I don’t know what to look for
	I’d find it embarrassing to do so
	Some other reason - please write in...

Examining for breast cancer

Has anyone ever shown or taught you how to carry out a self-examination of your breasts properly?
	No
	Yes - a medical professional
	Yes - a friend or relative
	Yes - found advice on the Internet
	Yes - found out how to do it via a TV programme
	Yes - found out via some other information source - please write in...

Examining for breast cancer

What do you look for when you’re examining your breasts?
	Look to see if there’s been a change in shape
	Feel for lumps or swellings
	Examine the skin
	Check for a change in the feel of the breast
	Look for signs of nipple discharge or bleeding
	Other

Examining for breast cancer

Have you ever found a lump or an unexpected change in your breast that gave you cause for concern?
	Yes
	No

If it is not too upsetting, please could you describe how you felt when you discovered the lump(s) or an unexpected change in your breast?

Helping you examine for breast cancer

Our client is currently developing a device that women can use at home to examine their breasts as part of their general health and well-being routine. It would be simple to use, unobtrusive, and designed to be part of a woman’s regular routine as she self-examines for lumps or changes in the breasts.  The device provides an additional way to look for unexpected lumps inside the breast that might not be detected by the regular self-examination alone. If such a device was currently available, how interested would you be in using such a device?

Not at all interested

Not very interested

Neither

Fairly interested

Very interested

Don’t Know

Helping you examine for breast cancer

We appreciate that at this stage we are not able to give you specific details about the device, how it works or how you would use it. However, what is your main reason for saying that you would not be interested in using such a device?
	Just because I don’t know anything about it
	I don’t believe gadgets and electronics could be useful
	It would cost too much
	I’d rather just go to my GP regularly
	It’s too serious a matter to rely on self-examination
	My self-examination routine is sufficient
	For another reason... please write in:

Helping you examine for breast cancer

If price was not an issue, how likely would you be to purchase such a device if it was available, either for yourself or for someone else?

Not at all likely

Unlikely

Neither likely nor unlikely

Very likely

Definitely

Don’t Know

Helping you examine for breast cancer

How important would you say these factors would be if you were looking to buy a device that you could use at home as part of your breast examination routine?
		Not at all important	Not very important	Neither important nor unimportant	Fairly important	Essential	Don't Know
	Ease of use
	Design (e.g. shape)
	Size of the device
	Brand name
	Endorsement by profession medical body
	GP recommendation
	Detailed instruction
	Price
	Accuracy of the device

Are there any other factors that you would take into consideration if you were considering buying this device?

Helping you examine for breast cancer

At which of the following types of retail outlets would you expect to see this type of device offered for sale? (Please tick all that apply.)
	Supermarkets (e.g. Asda, Tesco, Waitrose, etc)
	Chemist shops including online (e.g. Boots, Lloyd’s Pharmacy, etc)
	High-street retailers including online (e.g. Argos, Superdrug, etc)
	Department stores (e.g. Debenhams, John Lewis, etc)
	General online retailers (e.g. Amazon, etc)
	Specialist online retailers (e.g. Medisave, Firstaidwarehouse, etc)
	Others... please write in:

Helping you examine for breast cancer

This device would be a one-off purchase. There are no moving parts although the device is electronic. It would be powered by standard batteries which would last a long time. What would you expect this product to cost from a high street outlet?

Up to £19.99

£20.00 to £29.99

£30.00 to 39.99

£40.00 to £49.99

£50.00 to £59.99

£60.00 to £69.99

£70.00 or more

Don't know

And what is the maximum you would be prepared to pay...?

Up to £19.99

£20.00 to £29.99

£30.00 to 39.99

£40.00 to £49.99

£50.00 to £59.99

£60.00 to £69.99

£70.00 or more

I would not buy this device

Why would you not be interested in buying this type of device?

Thank you

Thank you - that is the end of the survey. If you have any comments on the issues covered in this survey, further thoughts or experiences to share that you think may be important in the development of this product, please write them here:

Thank you for completing this survey. Make sure you click on the SUBMIT button below to send us your answers.