• Dealing With COVID-19

  • The COVID-19 pandemic has changed how we live, work and access health care. Cancer Health wants to know how the novel coronavirus has affected you and your health. 

  • 1) How concerned are you about contracting the novel coronavirus?
  • 2) How much have you been affected by the COVID-19 pandemic?
  • 3) Do you have an emergency supply of any medication you take?
  • 4) Did you lose your job or any income because of the COVID-19 pandemic?
  • 5) Did you lose your health insurance because of the COVID-19 pandemic?
  • 6) Have you used telemedicine to connect to a health care provider during the COVID-19 pandemic?
  • 7) Have you encountered an interruption of any of your cancer treatments?
  • 8) Have you encountered an interruption of any other cancer services or support?
  • 9) Have you encountered an interruption of any of your health care services?
  • 10) How have you been connecting with others during the COVID-19 pandemic? (Check all that apply.)

  • 11) Which of the following are you doing to take care of your mental health during the COVID-19 pandemic? (Check all that apply.)

  • 12) How would you rate the federal government’s response to the COVID-19 pandemic?
  • 13) How would you rate your local government’s response to the COVID-19 pandemic?
  • 15) What is your gender?

  • 16) What is your sexual orientation?

  • 17) What is your ethnicity? (Check all that apply.)

  • 18) What is your current level of education?
  • 19) What is your household income?
  • Reload
  • Should be Empty: