Take 5 Minutes to Help Cancer Patients & Families During COVID-19

Much needs to be done to help ensure cancer patients are accessing their necessary medications in a safe and affordable way during the pandemic.

Please respond to our 5-minute survey to help us understand the challenges currently being faced by cancer patients and their households across Canada.

Thank you in advance for your partnership in improving the lives of cancer patients.

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* 1. Do you (or someone in your household) require prescription medications?

Yes

Prefer not to answer

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* 2. Has your (or hour household’s) ability to afford those prescription medications changed because of the pandemic?

Yes, more difficult to afford

Yes, less difficult to afford

No, there has been no change

Prefer not to answer

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* 3. Has your (or someone in your household’s) employment status changed, resulting in a change of insurance coverage for prescription medications?

Yes

Prefer not to answer

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* 4. Do you agree with the following statement: As a result of the pandemic, my household requires additional help to cover the costs of medications.

Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

Don’t know / prefer not to answer

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* 5. Do you (or someone in your household) require prescription medications as a result of a cancer diagnosis?

Yes

Prefer not to answer

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* 6. Have you (or someone in your household) required more prescription medications taken at home (for example pills, tablets or something you inject at home) since the start of the pandemic?

Yes

Not sure

Prefer not to answer

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* 7. How old are you?

Under 25

25-39

40-50

51-64

Over 65

Prefer not to answer

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* 8. What province or territory do you live in?

Alberta

British Columbia

Manitoba

New Brunswick

Newfoundland and Labrador

Northwest Territories

Nova Scotia

Nunavut

Ontario

Prince Edward Island

Quebec

Saskatchewan

Yukon

I live outside Canada

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* 9. Gender:

Female

Male

Prefer not to answer

Take 5 Minutes to Help Cancer Patients & Families During COVID-19

Question Title

* 1. Do you (or someone in your household) require prescription medications?

Question Title

* 2. Has your (or hour household’s) ability to afford those prescription medications changed because of the pandemic?

Question Title

* 3. Has your (or someone in your household’s) employment status changed, resulting in a change of insurance coverage for prescription medications?

Question Title

* 4. Do you agree with the following statement: As a result of the pandemic, my household requires additional help to cover the costs of medications.

Question Title

* 5. Do you (or someone in your household) require prescription medications as a result of a cancer diagnosis?

Question Title

* 6. Have you (or someone in your household) required more prescription medications taken at home (for example pills, tablets or something you inject at home) since the start of the pandemic?

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* 7. How old are you?

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* 8. What province or territory do you live in?

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* 9. Gender:

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* 10. Would you be available to discuss your responses further with someone from CanCertainty? If so, please provide your email address.

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* 11. Do you have any additional comments?