Cancer Health_Summer_2018

Cancer treatment and related costs can be a big financial burden. At a time when new cancer therapies are becoming ever more expensive, Cancer Health wants to know how you manage the financial challenges of care.

1) If you have been diagnosed with cancer,  what type was it? (Include all types.)

2) Where are you in the treatment process?

3) Have you ever skipped or delayed treatment because of cost?

4) How much do you worry about the cost of cancer care?

5) What type of health coverage do you have? (Check all that apply.)

6) What is your monthly insurance premium?

7) Besides cancer drugs, what are your major care-related expenses? (Check all that apply.)

Other

8) On average, how much do you spend each month for out-of-pocket health costs?

9) What types of financial assistance have you used for cancer care? (Check all that apply.)

Other

10) Have you ever used a drug company patient assistance or co-pay program?

Other

11) What year were you born?

12) What is your gender?

Other

13) What is your level of education?

14) What is your household income?

15) What is your zip code?

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Paying for Cancer Care