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Likert Scale Sample Copy
Carine Meguem
Regis College
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Likert Scale Sample Copy
This is an example of the Likert scale statements that will be used to assess the self-efficacy and
confidence levels of non-oncology-based RNs regarding breast cancer prevention education.
Please indicate your level of agreement with the following statements
1. I am confident in my knowledge of breast cancer risk factors and prevention strategies.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agre
2. I believe I can effectively communicate the importance of breast cancer screening to my
patients.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
3. I feel capable of addressing questions and concerns related to breast cancer prevention.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
4. I am comfortable discussing breast health and prevention methods with low-income
women.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
5. I am confident in my ability to provide accurate information about mammograms and
their benefits.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
6. I believe I can encourage women to prioritize regular breast cancer screenings.
● Strongly Disagree
3
● Disagree
● Neutral
● Agree
● Strongly Agree
7. I am competent in guiding patients through the process of scheduling a mammogram.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
8. I am confident in my skills to educate patients on breast self-examination techniques.
● Strongly
● DisagreeDisagree
● Neutral
● Agree
● Strongly Agree
9. I can create educational materials that effectively convey breast cancer prevention
information.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
10. I am comfortable tailoring breast cancer prevention messages to the specific needs of
low-income women.
● Strongly Disagree
● Disagree
● Neutral
● Agree
● Strongly Agree
The participants can indicate their agreement levels by ticking the appropriate checkbox for each
statement, using a scale from 1 (Strongly Disagree) to 5 (Strongly Agree). This will allow for a
clear and structured assessment of participants' perceptions and confidence levels in breast
cancer prevention education.
