MBC and COVID-19 Survey

Question Title

* 1. What specific challenges are you facing as a metastatic cancer patient during this time of quarantine?

Unable to get basic necessities

I feel alone

I don't feel like I am getting enough exercise

I miss interacting with my friends

All of the above

Other (please specify)

Question Title

* 2. How is COVID-19 impacting your quality of life?

Anxious

Lonely

I lost my job

My caregiver, spouse or significant other lost their job

Other (please specify)

Question Title

* 3. Is the quarantine associated with the Novel Coronavirus affecting your quality of life?

Yes

If yes, how is the quarantine impacting your quality of life?

Question Title

* 4. What unmet needs do you have right now due to Coronavirus Quarantine?

I am unable to shop for myself/Delivery service is unreliable

I don't have transportation to treatment

I don't have peer support or interaction

Other (please specify)

Question Title

* 5. What specific resources do you need (day-to-day and with treatment)?

Financial resources

Rides to treatment

Help with getting essentials

Daily exercise routine

Human interaction -Need to see faces

All of the above

Other (please specify)

Question Title

* 6. How is COVID-19 impacting your treatment and continuity of care?

Unable to go to treatment

I can't afford my copay

I lost my job/insurance

I don't go to treatment because I am afraid of getting Covid 19

Other (please specify)

Question Title

* 7. What can the healthcare community do to support you?

Provide more information on Covid19 as it relates to metastatic breast cancer

Provide more information about emotional wellness during this time of quarantine

Provide more information about clinical trials

Provide more information about copay assistance

Provide more information about the healthcare community's response to Covid19 as it relates to immunocompromised people

Other (please specify)

Question Title

* 8. What programs or support do you need?

Provide ways for me to interact with other patients

Provide ways for me to access support

Provide ideas to help me get through the quarantine through tips on social media

Other (please specify)

Question Title

* 9. How did you learn about this survey?

METAvivor

Tigerlily

Other (please specify)