Tell us about your journey

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Tell us a little about where you are on this journey so we can send you what helps most. Every question is optional and you can skip any of them. Your answers are used only to tailor this newsletter and are never sold. By answering, you agree that we may store them as described in our Privacy Policy.

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1.How are you connected to prostate cancer?

2.Where are you on the journey right now?

3.Which treatments apply to you or your loved one? Pick all that fit.

None yet

Active surveillance

Surgery (prostatectomy)

Radiation

Hormone therapy (ADT)

Chemotherapy

Immunotherapy

PSMA or radioligand therapy

Clinical trial

Other

4.Which topics would you like us to cover? Pick all that fit.

Biology and how the body works

Mindset and emotional health

Treatment options

Treatment side effects

Coping with side effects

Alternative and lifestyle approaches

Diet, exercise and activities

Relationships

Glossary of terms

5.First name

6.Last name

7.City

8.State, province or county

9.Country

10.Age of the patient

11.When was the patient diagnosed? (month and year is fine)

12.PSA at diagnosis (if you know it)

13.Most recent PSA (if you know it)

14.What stage is the cancer?

15.Gleason score

16.Grade Group (1 to 5)

17.Which tests are you still waiting to have? Pick all that fit.

Cystoscopy

MRI

Biopsy

CT scan

PET scan

Genetic testing

18.Which tests have you already had? Pick all that fit.

Cystoscopy

MRI

Biopsy

CT scan

PET scan

Genetic testing

19.If you have had or are having radiation, which kind? Pick all that fit.

External beam

Brachytherapy: low-dose-rate (LDR) seed implant

Brachytherapy: high-dose-rate (HDR) tubes

PSMA radioligand therapy (Pluvicto)

20.If you have had or are having hormone therapy (ADT), which kind? Pick all that fit.

Lupron

Bicalutamide

Surgical castration (orchiectomy)

Other hormone therapy

21.Any other, natural or alternative treatments you are pursuing?

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22.Are you in a local community support group?

23.If yes, which group?

24.Would you like information about community support groups in your area?

25.Which national or regional advocacy groups are you involved in? (for example, ZERO Prostate Cancer)

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26.Is there anything unique about your situation you'd like us to know?

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27.If you have surgery planned, what is the date?