Computerised Breast Imaging

NEW TECHNOLOGY = NEW HOPE
Non-invasive without any radiation
A sensitive breast exam for patients of all ages

Complete our
Online Questionnaire
 

 

 

 

 

  

Please complete our 'confidential' online questionnaire.

Question 1 Are you?
 Female
 Male
Question 2 Your current age?
20 or less
 21 - 30
 31 - 40
 41 - 50
 51 - 60
 61 - 70
 70 +
Question 3 Have you ever had a mammogram?
 Yes
 No
Question 4 What age did you have your first mammogram?
under 25
25   – 30
 31   – 40
 41   – 50
 51   – 60
 61+
Never had a mammogram
Question 5 How regularly do you have a mammogram?
Yearly
 Every second year
 When you get around to it
Never
Question 6 Describe your most recent mammogram experience:
Slightly Uncomfortable
 Quite Uncomfortable
 Painful
 Very Painful
 No Pain or Discomfort
Question 7 If your GP/Family Doctor was able to provide you with a Sensitive, Accurate & Pain Free "Sure Touch" Clinical Breast Exam would you?
 Be more inclined to have a regular breast check using "Sure Touch"
 Still wait for my free the Breast X-Ray (mammogram)
 Still check yourself so it makes no difference
 Don't worry about checking
Question 8 Would you consider paying for an annual "Sure Touch" exam ?
No
 Yes [if so how much?]

$50 - $75
 $76 - $100
 More than $100

Question 9 When checking yourself do you?
 Check yourself very regularly
 Somewhat regularly
 When you remember
 Before you go to the doctor for your health check up
I don't check myself
Question 10 Do you have a history of Breast cancer in your family?
 Yes
 No
Question 11

Given a choice would you prefer a regular accurate "Sure Touch" Clinical Breast Exam done by your own doctor in the privacy of their surgery, or would you prefer to get a referral from your doctor to make another appointment with a radiology clinic, at another time, and with a radiographer you don’t know for a breast x-ray?
 
I would prefer the "Sure Touch" exam with my own family doctor
I would get a referral to have the breast x-ray (mammogram) at the radiologists with whichever radiographer is assigned to me.
Question 12 Please indicate your locality;

 State   Postcode
 
Question 13 Where did you hear about Sure Touch?

if other please specify

Thank you for taking our survey and we assure you that your comments will remain with us as part of our research into helping to fight Breast Cancer and other medical ailments.

The Directors
Medical Tactile Imaging P/L

 

© 2007  Medical Tactile Imaging Pty Ltd  All rights reserved