Cancer Health_Fall_2018

Your Cancer Treatment
It is estimated that more than one in three people in the United States will be diagnosed with cancer during their lifetime. At a time when cancer therapy is evolving rapidly, Cancer Health wants to know about your experiences with treatment.
1) If you have been diagnosed with cancer,  what type was it?
2) Where are you in the treatment process?

I have not yet started treatment.I am currently receiving treatment.I have finished treatment and have no evidence of cancer.I finished treatment, but the cancer is still present or has come back.I will not receive further treatment beyond palliative care.
3) What types of treatment have you received? (Check all that apply.)

SurgeryRadiation therapyTargeted therapyCAR-T therapyTraditional chemotherapyHormone or endocrine therapyImmune checkpoint inhibitorsOther
4) What treatment side effects have you experienced? (Check all that apply.)

AnemiaCognitive changesConstipationDiarrheaFatigueFeverHair lossImmune reactionsInfectionsLoss of appetiteNausea/vomitingNeuropathyPainSkin problemsSleep problemsOther
5) What were your side effects like?

MildModerateSevere
6) Have you had to stop treatment because of side effects?

YesNo
7) What steps have you taken to reduce or relieve side effects? (Check all that apply.)

AcupunctureAnti-nausea or anti-diarrhea medicationExercise or physical therapyMental health counselingMedical cannabisPain medicationScalp cooling to reduce hair lossTreatment for anemia or neutropeniaOther
8) What year were you born?
9) What is your gender?

MaleFemaleTransgenderOther
10) What is your level of education?

Some high schoolHigh school graduateSome collegeBachelor’s degreeGraduate or professional degree
11) What is your household income?

Less than $25,000$25,000–$49,999$50,000–$99,999$100,000–$149,999$150,000–$199,999$200,000 or more
12) 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 IslanderWhite
13) What is your zip code?
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Your Cancer Treatment