Survey Questionnaire

We would like to gather information about how people have been affected by spinal cord tumours. If you would like to participate in our survey please complete the questionnaire below.

PERSONAL DETAILS

Your email address:

Your age and sex:

Please enter "Male" or "Female" followed by your age.

Area where you live:

ABOUT YOUR TUMOUR

Type of tumour:

eg Ependymoma, Astrocytoma.

Date your benign spinal cord tumour was diagnosed:

Location of tumour on spine:

eg neck, C6-T1

IF YOU HAVE HAD SURGERY

What symptoms did you have pre-surgery?

Was all, or only part of, your tumour removed?

Date of surgery to remove tumour:

Has your tumour grown again?

YES
NO

Your symptoms post surgery:

Have you had any treatments post-surgery, eg radiotherapy?

What rehabilitation have you had, eg physiotherapy, alternative therapies etc?

IF YOU HAVE NOT HAD SURGERY

What was the reason for this?

Have you been told that you may have surgery at a later date?

Yes
No

What are your symptoms now?

MEDICATION

What medication, if any, are you currently taking?

Have you any comments on benefits or problems experienced in taking this medication?

Have you any general comments not covered by this survey?

The Spinal Cord Tumour Forum

Benign Spinal Cord Tumour Support & Information