Community Needs Assessment- Canopy Question Title * 1. Age 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 2. Ethnic group you identify with: White Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Other (please specify) Question Title * 3. What is your gender? Question Title * 4. Type of cancer diagnosis OR please let us know your role if you are not a patient: Question Title * 5. Please check all of the in-person support groups that you would have interest in attending: Breast Cancer (In-Person) Ovarian Cancer Prostate Cancer Lung Cancer Memory & Cognition (related to cancer treatment) Post-Treatment Survivorship (In-Person) Other (please specify) Question Title * 6. Would you have interest in one-on-one peer support from an individual that has had a similar cancer diagnosis as you? Yes No Question Title * 7. How likely are you to attend an in-person support group that focuses on coping with parenting and/or managing professional responsibilities while undergoing cancer treatment regardless of diagnosis? Very likely Likely Unlikely Very unlikely Question Title * 8. Are there any groups, services, or activities that you would like to see Canopy offer that are not currently offered? Question Title * 9. What factors make it difficult for you to attend a group or class at Canopy? Uncomfortable with group settings Concerned that group members may not be similar to me The need to arrange for childcare Cost of transportation to and from Canopy Groups are not offered at times that work for my schedule Other (please specify) Question Title * 10. Is there anything Canopy can do to address any of these factors to increase your likelihood of being able to attend a group or class? Done