Survey Objective:  Better understand the unmet needs of the
GI Cancer patient and survivor community.
Responses are anonymous. 
For questions regarding this survey or to provide additional information, please contact: 
Martha Raymond, GI Cancers Alliance Co-Chair; Founder/CEO The Raymond Foundation
mraymond@theraymondfoundation.org 

* 1. What type of GI (gastrointestinal) cancer were you diagnosed with/primary tumor location?

* 2. What was your initial stage at diagnosis?

* 3. Would you describe yourself as an empowered patient comfortable advocating for yourself regarding your healthcare and treatment?

* 4. Do you have a Survivorship Care Plan in place to address your medical and emotional/psycho-social needs?

* 5. How well have you adjusted to a 'new normal' since your cancer diagnosis?  'New normal' meaning that life is different after diagnosis - an adjustment to a new way of living and feeling.

* 6. Have you experienced any of these emotions during your cancer diagnosis, treatment or survivorship?  (check all that apply)

* 7. Do you have adequate support (family, friends, professional, spiritual or thru advocacy organizations) to help cope with your emotional/psycho-social concerns?

* 8. What advice would you give a newly diagnosed GI cancer patient?

* 9. Are there additional unmet needs that you are currently experiencing?

* 10. What is your gender?

* 11. What was your age at the time of your diagnosis?

* 12. Which race/ethnicity best describes you? (Please choose only one.)

Report a problem

T