We are looking to enhance support and educational services for patients and caregivers throughout the cancer journey. Your comments on this survey will help us improve the support services we offer for you.

This is an anonymous survey and all your answers will be strictly confidential.

HOW TO FILL OUT THIS SURVEY
Please fill this out from your OWN perspective, as a patient or as a caregiver.

Please fill out all of the sections to the best of your ability.

Please read the instructions at the beginning of each section before answering the questions in that section.
Each question will tell you whether you should mark only one box or mark all that apply.


CONTACT INFORMATION
You may contact Michelle Manning, MPH, Center Coordinator, Carolina Well-UNC Lineberger Survivorship Program at 919-966-4371 or via email at mmanning@schsr.unc.edu if you have questions, or would like assistance in completing the survey.

For help with other cancer-related issues and to find out about existing support services, you may contact the UNC Lineberger Patient/Family Resource Center at 919-966-3097.


If you are interested in finding out about future programs and services, please include your name and contact information below. We will separate this page from the survey so your survey answers remain anonymous. Also our website CarolinaWell.org will be in business soon. Thank you for completing this survey!