Patient-reported measurement of time to diagnosis in cancer: development of the Cancer Symptom Interval Measure (C-SIM) and randomised controlled trial of method of delivery

Background The duration between first symptom and a cancer diagnosis is important because, if shortened, may lead to earlier stage diagnosis and improved cancer outcomes. We have previously developed a tool to measure this duration in newly-diagnosed patients. In this two-phase study, we aimed further improve our tool and to conduct a trial comparing levels of anxiety between two modes of delivery: self-completed versus researcher-administered. Methods In phase 1, ten patients completed the modified tool and participated in cognitive debrief interviews. In phase 2, we undertook a Randomised Controlled Trial (RCT) of the revised tool (Cancer Symptom Interval Measure (C-SIM)) in three hospitals for 11 different cancers. Respondents were invited to provide either exact or estimated dates of first noticing symptoms and presenting them to primary care. The primary outcome was anxiety related to delivery mode, with completeness of recording as a secondary outcome. Dates from a subset of patients were compared with GP records. Results After analysis of phase 1 interviews, the wording and format were improved. In phase 2, 201 patients were randomised (93 self-complete and 108 researcher-complete). Anxiety scores were significantly lower in the researcher-completed group, with a mean rank of 83.5; compared with the self-completed group, with a mean rank of 104.0 (Mann-Whitney U = 3152, p = 0.007). Completeness of data was significantly better in the researcher-completed group, with no statistically significant difference in time taken to complete the tool between the two groups. When comparing the dates in the patient questionnaires with those in the GP records, there was evidence in the records of a consultation on the same date or within a proscribed time window for 32/37 (86%) consultations; for estimated dates there was evidence for 23/37 consultations (62%). Conclusions We have developed and tested a tool for collecting patient-reported data relating to appraisal intervals, help-seeking intervals, and diagnostic intervals in the cancer diagnostic pathway for 11 separate cancers, and provided evidence of its acceptability, feasibility and validity. This is a useful tool to use in descriptive and epidemiological studies of cancer diagnostic journeys, and causes less anxiety if administered by a researcher. Trial registration ISRCTN04475865

If you had any further symptoms which you feel are relevant to your cancer diagnosis, please list them below. If not, please go to Question 7.

Please describe the symptom here and complete A then B or C below
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

6.
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.
If you had any further symptoms which you feel are relevant to your cancer diagnosis, please list them below. If not, please go to Question 7.

Please describe the symptom here and complete A then B or C below
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

6.
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

Please go to Question 3
Did you have this?
A When did you first notice this?
When did you first tell your GP or nurse?

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)?
14. Do you think you were more at risk of getting cancer because of your family history?

No Yes
If you have any other comments or there is anything else you would like to tell us about when you first noticed your symptoms, please do so using the space below.
The next page is for the Researcher to complete If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.
Yours sincerely Dr Richard Neal Senior Clinical Lecturer Cardiff University Chief Investigator, Symptoms Study 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

Please go to Question 3
No Yes

Decrease in appetite
Please complete A then B or C below Please go to Section 2 Did you have this symptom?
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse If you had any further symptoms which you feel are relevant to your cancer diagnosis, please list them below. If not, please go to Question 7.

Please describe the symptom here and complete A then B or C below
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

6.
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)?
14. Do you think you were more at risk of getting cancer because of your family history?

No Yes
If you have any other comments or there is anything else you would like to tell us about when you first noticed your symptoms, please do so using the space below.
The next page is for the Researcher to complete If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

Please go to Question 3
No Yes

Decrease in appetite
Please complete A then B or C below Please go to Section 2 Did you have this symptom?
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)?
14. Do you think you were more at risk of getting cancer because of your family history?

No Yes
If you have any other comments or there is anything else you would like to tell us about when you first noticed your symptoms, please do so using the space below.
The next page is for the Researcher to complete If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.
Yours sincerely Dr Richard Neal Senior Clinical Lecturer Cardiff University Chief Investigator, Symptoms Study 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

Please go to Question 3
No Yes

Decrease in appetite
Please complete A then B or C below Please go to Section 2 Did you have this symptom?
A When did you first notice this?
When did you first tell your GP or nurse?
Put a cross here if you didn't tell your GP or nurse

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)?
14. Do you think you were more at risk of getting cancer because of your family history?

No Yes
If you have any other comments or there is anything else you would like to tell us about when you first noticed your symptoms, please do so using the space below.
The next page is for the Researcher to complete If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)?
14. Do you think you were more at risk of getting cancer because of your family history?

No Yes
If you have any other comments or there is anything else you would like to tell us about when you first noticed your symptoms, please do so using the space below.
The next page is for the Researcher to complete If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)?
14. Do you think you were more at risk of getting cancer because of your family history?

No Yes
If you have any other comments or there is anything else you would like to tell us about when you first noticed your symptoms, please do so using the space below.
The next page is for the Researcher to complete If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

:
Where did the patient complete the questionnaire? (Please specify whether this was in a separate room alone, in a corner of the clinic, the ward or other Thank you. Please now send the questionnaire and patient information sheet and consent form back to Cardiff University in the freepost envelope provided.

Dear Patient
I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Please cross the appropriate boxes
Please go to Question 8

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? A number of statements which people have used to describe themselves are given below. Read each statement and then cross the most appropriate box to indicate how you feel right now, at the moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feeling best.

Do
Please make sure you have answered all the questions. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Please cross the appropriate boxes
Please go to Question 8

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? A number of statements which people have used to describe themselves are given below. Read each statement and then cross the most appropriate box to indicate how you feel right now, at the moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feeling best.

Do
Please make sure you have answered all the questions. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Please cross the appropriate boxes
Please go to Question 8

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? A number of statements which people have used to describe themselves are given below. Read each statement and then cross the most appropriate box to indicate how you feel right now, at the moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feeling best.

Do
Please make sure you have answered all the questions. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Please cross the appropriate boxes
Please go to Question 8

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? A number of statements which people have used to describe themselves are given below. Read each statement and then cross the most appropriate box to indicate how you feel right now, at the moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feeling best.

Do
Please make sure you have answered all the questions. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet 2 9 PID -2 9

Researcher -Post-completion Sheet
Dear Patient I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Please cross the appropriate boxes
Please go to Question 8

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? A number of statements which people have used to describe themselves are given below. Read each statement and then cross the most appropriate box to indicate how you feel right now, at the moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feeling best.

Do
Please make sure you have answered all the questions. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?

Do
Dear Patient I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence.

About your symptoms
These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.

Researcher -Post-completion Sheet
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

Researcher initials:
Date questionnaire completed: Date Time

If not completed, give reason
How long is it since the patient was told of his/her diagnosis?
How long did it take the patient to complete the questionnaire? Less than 5 minutes Between 5 and 10 minutes Between 11 and 15 minutes Longer than 15 minutes / / For the patient selected to complete the questionnaire on their own Did the patient ask for any help? I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

Researcher initials:
Date questionnaire completed: Date Time

If not completed, give reason
How long is it since the patient was told of his/her diagnosis?
How long did it take the patient to complete the questionnaire? Less than 5 minutes Between 5 and 10 minutes Between 11 and 15 minutes Longer than 15 minutes / / For the patient selected to complete the questionnaire on their own Did the patient ask for any help? I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

Researcher initials:
Date questionnaire completed: Date Time

If not completed, give reason
How long is it since the patient was told of his/her diagnosis?
How long did it take the patient to complete the questionnaire? Less than 5 minutes Between 5 and 10 minutes Between 11 and 15 minutes Longer than 15 minutes / / For the patient selected to complete the questionnaire on their own Did the patient ask for any help? I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

Researcher initials:
Date questionnaire completed: Date Time

If not completed, give reason
How long is it since the patient was told of his/her diagnosis?
How long did it take the patient to complete the questionnaire? Less than 5 minutes Between 5 and 10 minutes Between 11 and 15 minutes Longer than 15 minutes / / For the patient selected to complete the questionnaire on their own Did the patient ask for any help? I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

Were you sent for any of these?
Blood test(s)

Yes Not sure No
Ultrasound scan X-ray

Barium Enema
Sigmoidoscopy or colonoscopy (Looking at bowel with internal camera)

About you
The next questions relate to general information about you. It would help us to know more about the background of the people completing the questionnaire.

Which best describes your employment status?
Employed full-time

Please cross one box only
Other, please describe Employed part-time Self employed full-time

What is your highest level of qualification?
Degree (or equivalent)

Please cross one box only
Other, please specify

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

Researcher initials:
Date questionnaire completed: Date Time

If not completed, give reason
How long is it since the patient was told of his/her diagnosis?
How long did it take the patient to complete the questionnaire? Less than 5 minutes Between 5 and 10 minutes Between 11 and 15 minutes Longer than 15 minutes / / For the patient selected to complete the questionnaire on their own Did the patient ask for any help? I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question:

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet

Researcher initials:
Date questionnaire completed: Date Time

If not completed, give reason
How long is it since the patient was told of his/her diagnosis?
How long did it take the patient to complete the questionnaire? Less than 5 minutes Between 5 and 10 minutes Between 11 and 15 minutes Longer than 15 minutes / / For the patient selected to complete the questionnaire on their own Did the patient ask for any help? I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

5.
If you had another symptom you feel is relevant, please write it below, otherwise go to Question 7.

Please describe the symptom here and complete A then B or C below
If you had further symptoms you would like to tell us about, there is space at the end of the Questionnaire for you to write them.

Did your GP send you for any tests?
Thinking back to the time immediately before you diagnosis, did your GP send you for any of the following tests?

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? Dear Patient I am very grateful to you for agreeing to help us with this study.

Do
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.

About smoking
Are you a current smoker?

Please cross the appropriate statement
Are you an ex-smoker?
Are you a non-smoker (never smoked)? I hope the information you supply will help us give people a diagnosis earlier.

Do
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. Dear Patient I am very grateful to you for agreeing to help us with this study.
I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it. I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: I hope the information you supply will help us give people a diagnosis earlier.
If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet.
I can assure you that anything you tell us will be treated in the utmost confidence. These questions are about symptoms you noticed before your diagnosis. We are interested in symptoms which you think are related to your cancer.
Please put a cross in the appropriate box, or write an answer as required.
Did you have any symptoms that you feel were due to your cancer before you were diagnosed?
What was the first symptom that made you think something might be wrong? 1.

2.
Please go to Section 2 on Page 5 Please continue with Question 2 The following questions are about when you first noticed a symptom and when you first told your GP or nurse about it.
Please give an exact date if you can. Otherwise give your best estimate. (For example approximately how long ago, the month or season). You wish to refer to your diary or calendar if you have it with you.
Here is an example question: If you feel you would like to talk to someone about this questionnaire at a later stage, please speak to the doctor or nurse who is looking after you, or be in touch with the research team, whose contact details are on your patient information sheet