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 firstname.lastname@example.org. For more information about communicating with your doctor, download our Teamwork resource.