Non-doctoral factors influencing the surgical choice of Chinese patients with breast cancer who were eligible for breast-conserving surgery

Table 3 Questionnaire for choosing mastectomy in patients who were eligible for BCS

Your age	( ) years
Your menstrual status	Premenopausal ( )
Your menstrual status	Postmenopausal ( )
Your address	Urban ( ); rural ( )
Your address	Within Nanjing ( ); outside Nanjing ( )
Your family income per year	> $1500 ( )
Your family income per year	≤ $1500 ( )
Your insurance status	General medicare insurance ( )
Your insurance status	No or low-level medicare insurance ( )
Level of education	Bachelor’s degree or above ( )
Level of education	Other ( )
Main reason for choosing mastectomy	Concern about cancer recurrence ( )
	Reluctance to undergo radiotherapy ( )
	Concern about residual cancer ( )
	Other reasons ( )

Please fill in your age and mark up “√” in the bracket after the option that you consider appropriate

ISSN: 1477-7819