Is XELODA Right for Me? Questionnaire

1. If you had surgery, were you given chemotherapy soon after the surgery?
  Yes
  No
  Not sure

2. Is your cancer of the colon or rectum classified as "metastatic," stage IV? In other words, has your doctor told you that your colon or rectal cancer has spread beyond the original tumor to other parts of your body?
  Yes
  No
  Not sure

3. Are you about to have surgery for colon cancer? Or have you had surgery that classified your colon cancer as stage III?
  Yes
  No
  Not sure

4. After you were told that you had cancer of the colon or cancer of the rectum, did you have surgery to remove the cancer (tumor)?
  Yes
  No
  Not sure

  
 

 
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FOOTNOTE
1. Adriamycin® is a registered trademark of Pharmacia.