Cancer Health_Summer_2021

Equity in Care
Cancer affects people of all races, but Black people have the highest death rate and lowest survival rate of any racial group for most cancers, according to the American Cancer Society. Health disparities due to racism, homophobia, classism, ableism, ageism or other factors can affect both a person’s ability to access care and the quality of the care they receive. Take our survey to let Cancer Health know about your experience with equity in health care.
How far do you have to travel to see your primary health care provider?

Less than 10 miles10–25 miles25–50 milesMore than 50 miles
How far do you have to travel to see your cancer specialist or for cancer treatment?

Less than 10 miles10–25 miles25–50 milesMore than 50 miles
Have you ever had difficulty accessing care or treatment due to your race or ethnic background?

YesNo
Have you ever had difficulty accessing care or treatment due to your gender?

YesNo
Have you ever had difficulty accessing care or treatment due to your sexual orientation?

YesNo
Have you ever had difficulty accessing care or treatment due to your physical disability?

YesNo
Have you ever had difficulty accessing care or treatment due to your appearance?

YesNo
Have you ever had difficulty accessing care or treatment due to your level of education?

YesNo
Have you ever had difficulty accessing care or treatment due to your ability to speak English?

YesNo
Have you ever had difficulty accessing care or treatment due to your financial situation?

YesNo
Have you ever had difficulty accessing care or treatment due to your housing situation?

YesNo
Do you feel that your doctor understands your health care needs?

YesNo
Do you trust that your doctor is working in your best interest?

YesNo
How often are you concerned about being treated unfairly when seeking medical care?

AlwaysSometimesSeldomNever
Are you able to afford the cost of your health insurance and medical care?

YesNo
Has the cost of medical care or lack of health insurance ever prevented you from getting cancer treatment?

YesNo
How would you rate the overall quality of your health care?

ExcellentGoodFairPoor
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*
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Equity in Care