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Cervical cancer and HPV vaccine awareness
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Did you know that cervical cancer is the second most common cancer in women in India?
Select one answer
Yes
No
Don't know
2
Did you that cervical cancer is the second most common cause of cancer death among women in India?
Select one answer
Yes
No
Don't know
3
What is the incidence of cervical cancer in India?
Select one answer
<5%
5-10%
10-25%
Don't know
4
What are the risk factors of cervical cancer?
Select one or more answers
Intercourse at an early age
Multiple sexual partners
STDs
Prolonged use of contraceptives
Immunodeficiency
Low socioeconomic status
Other (please specify)
5
What is the causative factor for almost all cervical cancers?
6
Is cervical cancer preventable
Select one answer
Yes
No
Don't know
7
Can cervical cancer be completely treated if diagnosed early?
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Yes
No
Don't know
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8
What are oncogenic variants of HPV
Select one or more answers
6
11
16
18
Other (please specify)
9
Did you know that HPV also causes warts, vaginal, vulval, penile and oropharyngeal cancer
Select one or more answers
Yes
No
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10
What is the average time of progression of HPV infection to cervical cancer
Select one answer
2-5years
5-10years
10-20years
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11
Is there a screening test for cervical cancer?
Select one answer
Yes
No
Don't know
12
What is the recommended interval for screening
Select one answer
3-5years
10years
Once in a life time
Don't know
13
Is screening required post vaccination?
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Yes
No
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14
Are you aware of the availability of HPV vaccines?
Select one answer
Yes
No
Answer 3
15
What are the types of HPV vaccine?
Select one or more answers
Bivalent- cervarix
Trivalent- cervarix 3
Quadrivalent- gardasil
Octavalent- gardasil 8
Nanovalent- gardasil 9
16
What is the recommended dose-schedule for the HPV vaccine
Select one answer
0, 1-2months, 6 months
0, 1 month, 2 months
0, 6 months, 12 months
Don't know
Other (please specify)
17
What is the recommended age group to get the HPV vaccine
Select one answer
<10years, upto 20years
9-14years, upto 26years
No age limit
Don't know
18
Is it recommended for males/ females/ both
Select one answer
Males
Females
Both
19
What is the efficacy of the HPV vaccine when administered according to guidelines
Select one answer
50-60%
77-87%
90-97%
Don't know
20
Are you vaccinated? If not, reason out
Eg: lack of awareness, logistic issues, provides a sense of false belief, worried about side effects, questionable efficacy
21
Do you routinely advice patients to get the HPV vaccine
Select one answer
Yes
No
Answer 3
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