Cancer Health_Winter_2020

Teamwork
Help can come in many different forms, and it’s important to have people on your side during cancer treatment. Cancer Health wants to know about the professional members of your team.
1) What types of services have you used? (Check all that apply.)

FinancialPhysicalPsychosocialSpiritualOther
2) My team has included (Check all that apply.)

ClergyFinancial navigatorGenetic counselorMental health care professionalOncology nurse navigatorOncology pharmacistOncology social workerPalliative care specialistPatient navigatorRegistered dietitianRehabilitation therapistOther
3) How did you connect with the members of your team? (Check all that apply.)

Referred by another patient or support groupReferred by my health insuranceReferred by my oncologistReferred by my primary care physicianOther
4) How helpful have you found the services of your team members?

Very helpfulModerately helpfulA littleNot at all
5) Was it easy to access their services?

YesNo
6) How are you paying for their services?

InsuranceOut of pocketA combination of bothOther
7) Where do you receive these services? (Check all that apply.)

HospitalOncology clinicOnlineOutpatient facilityTelephoneOther
8) Are you still using any of your team members’ services?

YesNo (Skip to question 10.)
9) Why are you still using your team members’ services?

I am still undergoing treatment.I still need their services.They are part of my posttreatment rehabilitation.Other
10) Why aren’t you still using your team members’ services?

I cannot afford them.I no longer need them.Other
11) What year were you born?
12) What is your gender?

MaleFemaleTransgenderOther
13) What is your ethnicity? (Check all that apply.)

American Indian or Alaska NativeArab or Middle EasternAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
14) What is your zip code?
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Teamwork