Cancer Health_Winter_2025

Life Enhancing
Living with cancer is difficult, but you can take steps to improve your quality of life. Fill out our survey and let Cancer Health know what techniques you use during challenging times.
What type(s) of cancer do you have?
Are you currently receiving cancer treatment?

YesNo
How would you rate your overall quality of life?

ExcellentGoodFairPoor
How often do you exercise, which can help reduce fatigue and improve mood?

DailySeveral times a weekOnce a week or less
Do you eat a healthy diet rich in fruits, vegetables, whole grains and lean proteins to support overall health and energy levels?

YesNo
Do you practice healthy sleep habits to get a good night’s rest?

YesNo
Have you ever sought mental health support to cope with anxiety and depression?

YesNo
Do you use any complementary therapies, such as acupuncture, massage or meditation, to manage symptoms and improve well-being?

YesNo
Are you open about your needs and feelings with loved ones and health care providers?

YesNo
Do you make time for hobbies and activities that you enjoy?

YesNo
Do you spend time in nature, which can enhance mood and promote relaxation?

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:

Life Enhancing