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Make Your Dialogue Count
Physical Health
Talking about Clinical Trials and Treatment Options Understand Your Breast Cancer Type Metastatic Breast Cancer and Nutrition If You Have Pain Understand Treatment Impact on Fertility If You Have Fatigue Your Potential Treatment Team
Emotional & Spiritual Health
If You’re Having Anxiety or Depression If You’re Having Crises of Spirituality If You Feel Isolated or Alone Your Potential Treatment Team
MBC & Relationships
Talking About Intimacy Sharing Your Diagnosis with Friends and Family Relationship With Your Treatment Team Your Potential Treatment Team
Life Planning
Metastatic Breast Cancer in the Workplace Talking About Challenges to Care Preparing for End of Life Your Potential Treatment Team
Glossary

  • Physical Health
    • Talking about Clinical Trials and Treatment Options
    • Understand Your Breast Cancer Type
    • Metastatic Breast Cancer and Nutrition
    • If You Have Pain
    • Understand Treatment Impact on Fertility
    • If You Have Fatigue
    • Your Potential Treatment Team
  • Emotional & Spiritual Health
    • If You’re Having Anxiety or Depression
    • If You’re Having Crises of Spirituality
    • If You Feel Isolated or Alone
    • Your Potential Treatment Team
  • MBC & Relationships
    • Talking About Intimacy
    • Sharing Your Diagnosis with Friends and Family
    • Relationship With Your Treatment Team
    • Your Potential Treatment Team
  • Life Planning
    • Metastatic Breast Cancer in the Workplace
    • Talking About Challenges to Care
    • Preparing for End of Life
    • Your Potential Treatment Team
  • Glossary

Make Your Dialogue Count Questionnaire

About Make Your Dialogue Count

Disclaimer Language
To protect your privacy, we do not collect or keep any of the information you enter. Your responses will not be automatically saved. If you leave a question screen, either to visit a different site or another page on MakeYourDialogueCount.com, you will need to start over from the beginning to capture your responses.

There are seven questions. You will be able to go back to previous questions and skip questions.

Once finished, you will receive a personalized discussion guide that you can download and save for future use.

Make Your Dialogue Count Questionnaire

Know Your Type

Breast cancers can be characterized by genetic markers or proteins (hormone receptors) on cancer cells. If your cancer has tested positive for estrogen receptors (ER+) or progesterone receptors (PR+), then it is called hormone receptor positive (HR+). This means that the cancer cells may receive signals from estrogen or progesterone that promote cancer cell growth. If your cancer tests negative for estrogen and progesterone receptors, it is called hormone receptor negative (HR-) breast cancer.

Similarly, if your cancer has tested positive for human epidermal growth factor receptor-2 (HER2), then it is called HER-2 positive (HER2+) breast cancer. In this case, there may be too many HER2 receptors causing cancer cells to grow. If your cancer tests negative, it is called human epidermal growth factor receptor-2 negative (HER2-) breast cancer.

If your cancer tests negative for the ER, PR and HER2 receptors, it is considered triple negative breast cancer.

There are specific treatments for women living with HR+ or HER2+ status, so knowing your treatment status can help you and your health care provider make treatment decisions. To learn more about the subtypes of breast cancer, visit the Know Your Type page.

PROCEED TO QUESTION 1

Make Your Dialogue Count Questionnaire

Question 1 of 7:

What kind of advanced breast cancer (type of hormone receptor status) do you have?

Make Your Dialogue Count Questionnaire

Question 2 of 7:

Have you talked to your doctor about mutations in your cancer?

(Choose the best answer).

Make Your Dialogue Count Questionnaire

Question 3 of 7:

What is your current treatment status?

(Check all that apply.)

Make Your Dialogue Count Questionnaire

Question 4 of 7:

Have you discussed treatment side effects with your doctor or health care team?

(Choose the best answer).

Make Your Dialogue Count Questionnaire

Question 5 of 7:

Some women tell us they sometimes miss a cancer treatment dose, has this ever happened to you?

(Choose the best answer).

Make Your Dialogue Count Questionnaire

Question 6 of 7:

How do you typically like to receive and process treatment information from your doctor?

(Choose the best answer).

Make Your Dialogue Count Questionnaire

Question 7 of 7:

Do you sometimes worry about the following issues?

Please check all that apply so you can discuss them with your health care team.

Long-term treatment goals

Speak with your health care team about your long-term goals or any concerns you have. For example, if you’re worried about missing an important life event (such as an upcoming graduation, wedding or birth of a grandchild), your team may be able to work with you to develop a treatment plan that keeps your goals in mind.

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Discussing treatment side effects

Potential side effects of treatment vary for each therapy, and every person responds differently. Talk to your health care team about the potential side effects of treatment, including side effects like anxiety, depression or insomnia. If your health care team understands the side effects you are experiencing, they can better help you manage them.

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Taking your prescribed treatment

Some of the women we surveyed said it was sometimes hard to take their cancer treatment as prescribed. It is okay to feel this way, but if you do, let your health care team know. Cancer treatment is complicated, so do not make changes before talking to your health care providers, even if you are experiencing side effects. The more information you communicate, the more they will be able to help you.

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