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Managing Cancer and Living Meaningfully (CALM) Program Survey
1.
Please enter the name of the institution/organization you represent (individual contact details are optional):
Name
Company
Address
City/Town
State/Province
Country
Email Address
2.
Type of institution (select all that apply):
Academic (University, College)
Patient Care (Hospital, Clinic, Medical Office)
Civil Society (Association, Foundation)
Cancer Centre
Other (please specify)
3.
Select your area of expertise (select all that apply):
Palliative Care
Psychosocial Oncology
Oncology/Haematology
Nursing
Pediatrics
Family Medicine
Psychiatry
Social work
Education
Administration
Other (please specify)
4.
Please identify the type of supportive care your institution/organization provides for patients with advanced cancer (select all that apply):
Specialized Psychological Care
Palliative Care
Spiritual Care
Other (please specify)
5.
If your institution/organization provides specialized psychological care, what is the nature of this care (select all that apply):
Cognitive Behavioural Therapy
Individual supportive expressive therapy
Group supportive expressive therapy
Mindfulness
Other (please specify)
6.
How are psychosocial oncology services for patients with advanced cancer funded within your setting (select all that apply):
Government
Philanthropy
Private insurance
Patient
Other (please specify)
7.
Does your institution/organization conduct research on specialized psychological services for patients with advanced cancer?
Yes
No
8.
Have you heard about the Managing Cancer and Living Meaningfully (CALM) Program?
Yes
No
9.
If you answered yes to question 12, have you attended a CALM workshop?
Yes
No
10.
Based on the description of the CALM Program provided, do you think your institution/organization would be interested in (select all that apply):
Providing CALM training
Becoming able to implement CALM as clinical care
Conducting research on CALM
Other (please specify)
Current Progress,
0 of 10 answered