Cancer Health_Spring_2021

Treatment Choices
In recent years, treatment options to fight cancer have rapidly expanded. The type of treatment you choose will depend on the type of cancer you have and whether it has spread. Take our survey to let Cancer Health know about your experience with cancer treatment.
What type(s) of cancer do you have? (Check all that apply.)

BladderBreastColorectalKidneyLeukemiaLungLymphomaMelanomaProstateOther
Are you currently receiving cancer treatment?

Yes (Skip next question.)No
How long ago did you have cancer treatment?

Less than 6 months ago6 months–1 year ago1–2 years agoMore than 2 years agoc
Which of the following types of cancer treatment have you had? (Check all that apply.)

CAR-T therapyChemotherapyHormone or endocrine therapyImmunotherapyRadiation therapySurgeryTargeted therapyNone of the above
Do/did you feel comfortable talking with your doctor about all your treatment options?

YesNo
Do/did you feel you were provided with enough information about all your treatment options?

YesNo
Before you started treatment, were you given information about all the possible side effects?

YesNo
Do you feel you were provided with enough support to deal with the side effects of your cancer treatment?

YesNo
How far do/did you travel to receive your cancer treatment?

Less than 25 miles25–50 miles50–100 milesMore than 100 miles
Have you ever participated in a clinical trial for cancer treatment?

YesNo
Have you used complementary and alternative medicine (e.g., meditation, massage, herbal supplements) in your cancer care?

YesNo
What year were you born?
What is your gender?

MaleFemaleTransgenderOther
What is your current level of education?

Some high schoolHigh school graduateSome collegeBachelor's degree or higher
What is your annual household income?

Less than $15,000$15,000-$34,999$35,000-$49,999$50,000-$74,999$75,000-$99,999$100,000 or more
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
What is your ZIP code?
Enter the message as it's shown*
Should be Empty:

Treatment Choices