PRE-COURSE KNOWLEDGE OF PROTON THERAPY SURVEYYour anonymous response to this survey will enhance the relevance of the presentations at the Miami Brain Symposium. Instructions: Please respond to each statement by selecting the response that best fits your knowledge of proton therapy. How familiar are you with proton therapy? * Extremely familiar Very familiar Somewhat familiar Not so familiar Not at all familiar How would you describe your overall opinion of proton therapy? * Extremely favorable Very favorable Somewhat favorable Not so favorable Not at all favorable I have not heard about proton therapy In the past 6 months, how often did you hear people talking about proton therapy? * Everyday Weekly Monthly Once or twice I haven’t heard people talking about it When you think of proton therapy, do you think of it as something you need or don’t need? * Definitely need Probably need Neutral Probably don’t need Definitely don’t need What are the advantages of proton therapy? Check all that apply. * Less dose to healthy tissue Fewer side-effects Better quality of life after treatment Decreased risk for secondary cancer Combining proton therapy treatment might ease associated brain surgery Combining proton therapy treatment might ease associated systemic treatment There are no main advantages Other... What are the advantages of proton therapy? Check all that apply. Other... What are the disadvantages of proton therapy? Check all that apply. * Costly Not available in my region Don’t know where to refer my patients I don’t see the clinical benefits I have enough treatment options Insurance doesn’t cover it Other... What are the disadvantages of proton therapy? Check all that apply. Other... Demographic Questions How many years have you been in practice? * 1-5 years 6-10 years 11-15 years 16-20 years 21-30 years 31 + years What is your medical specialty? * Please select one of the following * Physician (MD/DO) Psychologist Ph.D. – Other Physician Assistant Nurse Dietician Pharmacist SW/MHC/MFC Non-Clinical Healthcare Professional Other... Please select one of the following Other... Please select one of the following: * Male Female Prefer Not to Answer Leave this field blank
