Penny Brohn UK

Help change life with cancer. For good

MYCaW – GenesisCare – Second Form

meaningful-measures

Genesis Care MYCaW 2

Please tick the relevant boxes below so we can understand more about the data collection:

I am a: (please select) *
This was completed: (please tick) *

Look at the concerns that you submitted last time.
Please rate to show how severe each concern or problem is now:

Concern or problem 1
(0 = Not bothering me at all and 6 = Bothers me greatly) *
Concern or problem 2
(0 = Not bothering me at all and 6 = Bothers me greatly)

How would you rate your general feeling of wellbeing now? (How do you feel in yourself?)

Wellbeing
(0 = As good as it could be and 6 = As bad as it could be) *

Other things affecting your health

What has been most important for you?

Measure Yourself Concerns and Wellbeing 2020 © Meaningful Measures Ltd

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