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Workshop Attendee Survey - Generic
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Community Infusion Solutions (CIS)
CSC California Central Coast
CSC Central Ohio
CSC East Tennessee
CSC Greater Ann Arbor
CSC Greater Cincinnati - Northern Kentucky
CSC Greater Lehigh Valley
CSC Greater Philadelphia
CSC Greater St. Louis
CSC Los Angeles
CSC New Jersey
CSC North Texas
CSC San Francisco Bay Area
CSC South Bay
CSC Southwest Colorado
CSC Valley/Ventura/Santa Barbara
GC Grand Rapids
GC Greater Toronto
GC Kansas City
GC Metro Detroit
GC Middle Tennessee
GC New Hampshire
GC Quad Cities
GC Simcoe Muskoka
GC South Florida
GC Twin Cities
HP Holy Name Medical Center
HP Kona Community Hospital
HP Mosaic Life Care
HP Northwest Medical Specialties
HP Orlando Health Cancer Institute
HP Prisma Health Cancer Institute
HP Rocky Mountain Cancer Centers
HP Tuba City Regional Health
HP Whitman-Walker Health
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A to ZZZ: Sleep and Cancer
A to ZZZ: Sleep and Cancer (Spanish)
Acute Myeloid Leukemia
Advanced Care Planning
Cancer Risk in African Americans
Chronic Blood Cancer - 2021
Chronic Lymphocytic Leukemia (CLL)
Clinical Trials (Spanish)
Colorectal Cancer - 2022
Cost of Care - 2021
Cost of Care - 2021 (Spanish)
Eating Well During Cancer Treatment
Eating Well During Cancer Treatment and Survivorship
Eating Well For Cancer Survivors
Head and Neck Cancer - 2021
Immunotherapy - 2021
Immunotherapy - 2021 (Spanish)
Immunotherapy Watch Party - 2021
Living with Uncertainty
Living with Uncertainty (Spanish)
Lung Cancer - 2021 (Spanish)
Lung Cancer - 2022
Making Treatment Decisions - 2022
Making Treatment Decisions - 2022 (Spanish)
Metastatic Breast Cancer
Precision Medicine 2021
Push the Pause Button (for Caregivers)
What Do I Tell The Kids
What Do I Tell The Kids (Spanish)
Why Can't I Stay Positive
Why Can't I Stay Positive (Spanish)
I attended as a:
Person with cancer/Cancer Survivor
Health care professional
Race/Ethnicity (Check all that apply)
American Indian or Alaska Native
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
How old are you?
What is your gender identity?
Transgender male/Trans man
Transgender female/Trans woman
What is the highest level of education you have completed?
Some high school
High school diploma or equivalent (GED)
Technical / Vocational / Associate’s degree
Master’s degree or higher
Which of the following best describes the area you live in?
I have experienced emotional distress due to my/my loved one’s cancer.
The social and emotional effects of cancer, and their impact on my life, have been adequately addressed by my health care team.
How knowledgeable were you about this topic BEFORE this workshop?
1 (Not at all)
5 (Very much)
How knowledgeable are you about this topic AFTER this workshop?
1 (Not at all)
5 (Very much)
Before this workshop I:
Made treatment decisions in partnership with my health care team
Asked my doctor about ways to deal with and manage side effects of cancer treatment
Knew how to cope with the emotional effects of the cancer experience
As a result of this workshop:
I am confident I can make treatment decisions in partnership with my health care team.
I am confident I can ask my health care team questions about side effects of cancer and its treatment.
I feel better prepared to emotionally cope with this cancer experience.
I would recommend this workshop to others with cancer and their loved ones.
Besides workshops, where do you seek information about cancer treatments? (Check all that apply)
Media (TV, Radio)
Social Network Sites
General comments or suggestions about the workshop (i.e. are there other topics not covered in this workshop that you would be interested in, etc.):
If you are a person with cancer / cancer survivor, please answer the remaining items.
What was your primary cancer diagnosis?
Do you have metastatic/advanced cancer?
How long has it been since you were first diagnosed with cancer?
Less than 3 months
13 months - 2 years
More than 5 years
Are you currently in active treatment for your cancer?
What kind of treatment have you received/are you currently receiving? (Check all that apply)
Have you participated in a cancer clinical trial?
Yes, I am currently in one
Please consider joining the Cancer Experience Registry at www.CancerExperienceRegistry.org It is a place where you can share your voice and learn from others while helping shape new programs, research and policy for those living with cancer. If you would like to receive additional information on the Registry or on the educational materials we offer, please provide your first name and e-mail address.