Small Cell Lung Cancer: Understanding Your Needs

This survey exists to give you a voice in how GO2 for Lung Cancer can best help the small cell lung cancer community. Your answers will be used to understand and address your personal needs, as well as the needs of the small cell community as a whole. You may take this survey anonymously or you can provide your information to be contacted in the future. Thank you for taking the time to complete this survey!

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* 1. Which of the following statements best describes your connection to SCLC:

I have a SCLC diagnosis and am receiving treatment

I had a SCLC diagnosis and now have no evidence of disease

I am a caregiver, loved one, or friend of someone with SCLC

I work with people affected with SCLC

None of the above statement describe my connection with SCLC

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* 2. Which of the following SCLC education topics would you like to learn more about?

SCLC and its stages

SCLC treatment options and how they work

SCLC treatment side effects and how to manage them

Clinical trials and how they can help me

Helpful advice or tips from other people with SCLC

Detailed information about all SCLC topics

Caregiving for someone with SCLC

I don’t need more education information

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* 3. How can our Helpline and LungMATCH team to best help you?

Provide information and connect me to resources

Offer emotional support

Help me to better understand my diagnosis and/or medical reports

Help me to understand my treatment options

Answer my questions about clinical trials

Find clinical trials that fit my needs

I don’t need help at this time

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* 4. How would you like to connect with other people who are affected by SCLC?

Providing support by volunteering to talk one on one with someone affected by SCLC - Phone Buddy

Receiving support by talking one on one with someone who is affected by SCLC -Phone Buddy

Talking or listening with a group of people who are affected by SCLC – Gathering Hope, Living Room Events

Sharing your SCLC story with GO2 to publish in our newsletter or website – Spotlight Stories

Joining a SCLC online group to offer or receive support – Health Unlocked

I’d rather not connect with other people at this time

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* 5. Please share your thoughts and ideas about how GO2 can best meet your needs.

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* 6. Would you be interested in being contacted by GO2 Foundation as we develop new resources for those with SCLC?

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* 7. Please provide your name and best contact info (phone or email) if you would like a GO2 staff member to contact you for support or resources. We will not share your information outside of GO2 for Lung Cancer.

Name

Phone number

Zip code

Optional: identified race or ethnicity