Personal Surveillance Schedule

Date of Entry:________________________________________

Date of Surgery:________________________________________

Type of Operation:________________________________________

Date of chemotherapy:________________________________________

Date of radiotherapy:________________________________________

My next blood test is due:________________________________________

My next CT scan is due:________________________________________

My next colonoscopy is due:________________________________________

If your results are normal you will also need the following investigations on the following approximate dates:

CEA blood test

Sigmoidoscopy

Colonoscopy

CT scan

MRI scan