The Jodi Lee Foundation exists to increase awareness of bowel cancer and promote the importance of early detection. Completing this anonymous survey will help The Jodi Lee Foundation gauge the current level of awareness of bowel cancer in Australia. This survey consists of 29 short questions and only takes a few minutes to complete. We need your responses by 20 May 2012. Your honesty is key to accurately reflecting bowel cancer awareness in the community. If you have any questions please contact The Jodi Lee Foundation on 08 8343 7222. Thank you for participating. Please forward this survey onto your networks to help us with this valuable research.

1. Bowel Cancer Awareness Survey
The Jodi Lee Foundation exists to increase awareness of bowel cancer and promote the importance of early
detection. Completing this anonymous survey will help The Jodi Lee Foundation gauge the current level of awareness
of bowel cancer in Australia.
This survey consists of 29 short questions and only takes a few minutes to complete. We need your responses by
20 May 2012. Your honesty is key to accurately reflecting bowel cancer awareness in the community. If you have
any questions please contact The Jodi Lee Foundation on 08 8343 7222.
Thank you for participating. Please forward this survey onto your networks to help us with this valuable research.
Q1. I am: Male / Female
Q2. My age is: < 15
15 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
> 75
Q3. I live in: SA WA NT QLD NSW ACT VIC TAS Other
Q4. Please indicate how you think the rate of death from bowel cancer compares to that of other types of
cancer in Australia?
a lot less less the same more a lot more
Breast cancer
Prostate cancer
Lung cancer
Melanoma
Q5. Is there a history of bowel cancer in your family?
Yes
No
Unsure

2. Q6. Do you know someone who has been affected by bowel cancer?
Yes
No
Q7. How many people do you think will be diagnosed with bowel cancer in their lifetime?
1 in 2
1 in 5
1 in 12
1 in 23
1 in 39
Q8. Are you aware that bowel cancer is 90 per cent curable if detected early?
Yes
No
Q9. Did you know that screening is available for bowel cancer?
Yes
No
Q10. How often do you think an individual should screen for bowel cancer?
Every year
Every 2 years
Every 5 years
Only when you experience symptoms
Q11. From what age do you think screening for bowel cancer should begin?
20+
30+
40+
50+
60+
70+
80+

3. Q12. What do you think is involved in a bowel screening test?
Colonoscopy
Manual examination by your doctor
Extracting samples of your stool with a scoop
Using a brush to stir toilet water after a bowel movement
Q13. Would you avoid a screening test because of what you think is involved in the screening process?
Yes
No
Q14. Are you aware of the government’s free National Bowel Cancer Screening Program?
Yes
No
Q15. How frequently does the National Bowel Cancer Screening Program screen for bowel cancer?
50, 55, 65
40, 50, 60
50, 55, 65
Every two years from age 50
Q16. If and when eligible, would you consider doing the National Bowel Cancer Screening Program test?
Yes
No
Q17. If not, why not?
I don’t know how to get it
The test is invasive and uncomfortable
It is sitting at home but I haven’t got around to doing it
I would prefer not to know the result
I don’t have time
There’s no history of bowel cancer in my family
I do not have any symptoms of bowel cancer
Q18. Have you been screened for bowel cancer outside of the National Bowel Cancer Screening Program?
Yes
No

4. Q19. Please indicate the importance of the following activities to your health and lifestyle:
Please circle:
(1) not at all important (2) slightly important (3) moderately important (4) very important (5) extremely important
Visiting the dentist 1 2 3 4 5
Going to the hairdresser 1 2 3 4 5
Having a mammogram / prostate examination 1 2 3 4 5
Going to the Physiotherapist / Chiropractor 1 2 3 4 5
Regular exercise 1 2 3 4 5
Taking supplements / vitamins 1 2 3 4 5
Visiting the optometrist 1 2 3 4 5
Having a massage 1 2 3 4 5
Screening for bowel cancer 1 2 3 4 5
Flu vaccination 1 2 3 4 5
Q20. Did you know you could buy a non-intrusive, simple, easy-to-use bowel screening test off the shelf from
the pharmacy?
Yes
No
Q21. How much would you be willing to pay for a bowel screening test from the pharmacy?
Less than $50
Between $50 and $100
More than $150
Q22. Would you buy a bowel screening test from the pharmacy?
Yes
No
Q23. If not, why not?
I don’t think I’m at risk
I can’t afford it
It’s not a priority
I’d prefer not to know the result
I am eligible for the National Bowel Cancer Screening Program
I’m afraid of the testing process

5. Q24. If yes, how often would you conduct the test?
Every year
Every 2 years
Every 5 years
Only when I experience symptoms
As advised
Q25. Approximately how much would you spend on health related activities every year (health insurance, visit
to the doctor, physio, vitamins, gym membership etc)?
Up to $1000
Up to $3000
Up to $5000
Over $5000
Q26. If your company offered free bowel screening tests, would you participate?
Yes
No
Q27. If you are a business owner or in a position of influence, would you consider investing approximately
$30.00 per employee to provide them with a free bowel screening test?
Yes
No
Q28. Which charity do you most associate with bowel cancer?
Cancer Council of Australia
The Jodi Lee Foundation
Bowel Cancer Australia
The Gut Foundation
Beating Bowel Cancer
Rotary Australia
Q29. Were you aware of The Jodi Lee Foundation prior to completing this survey?
Yes
No
If you are interested in hearing more please contact
The Jodi Lee Foundation at www.jodileefoundation.org.au