Please complete this survey AFTER you have read Now What...? Dealing with your brother or sister's cancer  to give us some feedback.

1	Date:

2	Gender: Female Male

3	What is the postcode of your usual address?

4	Age (in yrs):

5	Who in your family was diagnosed? Brother Sister Other, please specify

6	When was your brother or sister diagnosed with cancer? Month: Year:

7	How did you find out about Now What..?

8	When did you receive your copy of Now What..? Month: Year: