The Know Yourself Worksheet helps patients prepare for a visit to their doctor and discuss their preferences with their family and health care team. The worksheet explores:

  • Hopes and goals about diagnosis and prognosis
  • Personal goals and milestones
  • Quality of life during and after treatment
  • Impact of disease and side-effects
  • Other concerns

Use these prompts to help you prepare for your doctor’s visit and discuss your wishes with your physician and your family.

If you are a health care professional and would like more information about using this resource, please contact us.

“Know Yourself Worksheet” © 2013, National Coalition for Cancer Survivorship. All rights reserved. This material may not be reproduced, displayed, modified, or distributed without the express prior written permission of NCCS. For permission, contact info@canceradvocacy.org. For more information about communicating with your doctor, download our Teamwork resource.