Appendix C: Treatment Decision Worksheets

These worksheets are designed to help you organize your thoughts, compare your options, and clarify what matters most to you. Fill them in with your doctor, a family member, or on your own. There are no right or wrong answers — only what is right for you.

Worksheet C.1 — Side-by-Side Treatment Comparison

Use this chart to compare up to four treatment options. Ask your doctor to help you fill in the details.

After filling this in, which option(s) feel most right for me?

Worksheet C.2 — "What Matters Most to Me" Values Clarification

Everyone has different priorities. Rank the following from 1 (most important to me) to 12 (least important to me). There are no wrong answers.

My top 3 priorities are:

1. _____________________________________________
2. _____________________________________________
3. _____________________________________________

Based on these priorities, the treatment that best aligns with my values is:

Worksheet C.3 — Pros and Cons Worksheet

Use this blank template to weigh any two options you are considering.

Option A: _____________________________________________

Option B: _____________________________________________

After weighing both sides, I am leaning toward:

Questions I still need answered before deciding:

1. _____________________________________________
2. _____________________________________________
3. _____________________________________________

Worksheet C.4 — Second Opinion Checklist

Getting a second opinion is your right and is encouraged by most doctors. Use this checklist to prepare.

Before the appointment:

• Request copies of all medical records from your current doctor
• Obtain pathology slides (or request they be sent directly)
• Obtain imaging on CD/USB or have them sent electronically
• Gather all lab results (PSA history, bloodwork)
• Obtain copies of any genomic test results (Decipher, Oncotype, Prolaris, etc.)
• Write down your diagnosis, stage, and risk group
• Prepare a list of your current medications
• Prepare a list of your questions (use Appendix B)
• Check if your insurance covers the second opinion
• Bring a family member or friend to take notes

At the appointment:

• Ask: Do you agree with my diagnosis and risk group?
• Ask: Would you recommend the same treatment?
• Ask: Are there options my first doctor did not mention?
• Ask: Are there clinical trials I should consider?
• Ask: What would you recommend for your own family member?
• Take notes or ask permission to record the conversation

After the appointment:

• Compare recommendations from both doctors
• If opinions differ, ask each doctor to explain why
• Consider a third opinion if still uncertain
• Make your decision when you feel informed and ready — not rushed

Worksheet C.5 — Active Surveillance Decision Worksheet

If active surveillance has been recommended, use this worksheet to organize your monitoring plan and track your comfort level over time.

My cancer details:

• Gleason score / Grade Group: _____________
• PSA at diagnosis: _____________
• Number of positive cores: ___ / Total cores: ___
• Maximum cancer in any core: ______%
• MRI findings (PI-RADS): _____________
• Genomic test result (if done): _____________
• Risk group: _____________

My monitoring schedule:

How I am feeling about active surveillance:

Triggers that would make me consider treatment:

• Grade Group upgrade on repeat biopsy
• Significant PSA rise
• New finding on MRI
• Anxiety that is affecting my quality of life
• Other: _____________________________________________

Worksheet C.6 — Quality of Life Considerations

Before and after treatment, rate each area on a scale of 0 (no problem) to 10 (severe problem). This helps you and your doctor track changes over time.