Cancer Care in the COVID-19 Pandemic (U.S. PROVIDER SURVEY)

Cancer Care in the COVID-19 Pandemic (U.S. PROVIDER SURVEY)
Cancer Health wants to know how the COVID-19 pandemic has affected your organization. We plan to aggregate and share your responses to show how the COVID-19 pandemic has impacted cancer care and services. Thank you for completing the following survey.
1) How much has COVID-19 affected your ability to operate your organization?

Severely affectedModerately affectedSlightly affectedHas not affected
2) Has your organization had to close any of its facilities because of COVID-19?

YesNo
3) Has your organization had to cease providing any of the following services because of COVID-19? (Check all that apply.)

Alternative and Holistic TherapiesCounseling or Treatment ServicesFinancial AssistanceFood/MealsHospice ServicesHotlinesHousing ServicesInsurance AssistanceLegal AssistanceMental Health AssistancePeer/Group SupportReferral ServicesSenior ProgramsSubstance Abuse Counseling or TreatmentTransportation AssistanceYouth ProgramsOther
4) How are you connecting to your clients during the COVID-19 pandemic? (Check all that apply.)

EmailHome visitsSocial mediaTelephoneTextsOther
5) Is your organization able to provide telehealth or telemedicine to your clients?

YesNo (Skip to question 7.)
6) If yes, what platform are you using?
7) How concerned are your clients about COVID-19?

Very concernedModerately concernedSlightly concernedNot concerned
8) Is your organization able to test or treat clients who may have COVID-19?

YesNo
9) Which of the following best describes your organization?

ClinicCommunity-Based OrganizationComplementary TherapyDoctorDrug Treatment CenterEducational InstitutionFaith-Based OrganizationGovernment-Based Organization (e.g., State, County or City)Grant FoundationHospitalHousing ProviderLegal CounselPharmacyOther
10) Is your organization...

LocalStatewideNationalInternational
11) Is your organization a federally qualified health center (FQHC)?

YesNo
12) Have you had to lay off any staff?

YesNo
13) Are you still able to receive shipments of Cancer Health magazine?

YesNo
14) In what state are you located?
15) What is your biggest concern for your clients?
16) What is your biggest concern for your organization?
17) Which aspect of your operation is most affected by COVID-19?
18) Is there anything specific we can help you with? (Please include organization name, contact person and email address.)
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