Liver Cancer Survey

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* 1. Age

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* 2. Race

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* 3. City, State

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* 4. Gender

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* 5. What age were you at diagnosis?

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* 6. Is your liver cancer primary or metastatic?

Primary

Metastatic

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* 7. Were there underlying factors that contributed to your Liver Cancer diagnosis?

Yes

Other (please specify)

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* 8. What symptoms did you experience before diagnosis?

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* 9. How were you diagnosed?

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* 10. What is your current liver cancer status?

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* 11. Are you currently being followed by an oncologist?

Yes

Other (please specify)

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* 12. Is a liver transplant an option?

Yes

Other (please specify)

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* 13. At time of diagnosis did you feel you were given adequate information and support?

Yes

Other (please specify)

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* 14. After your diagnosis how did you try to find out more information?

Internet

Medical journals

Non-profits

Online forums

Other (please specify)

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* 15. How has Liver Cancer impacted your life socially, financially, emotionally?

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* 16. What support services would be helpful to you and your caregivers?

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* 17. Please share any additional comments/observations regarding your Liver Cancer journey.

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* 18. Optional contact information not required

Name

Email Address

Liver Cancer Survey

Question Title

* 1. Age

Question Title

* 2. Race

Question Title

* 3. City, State

Question Title

* 4. Gender

Question Title

* 5. What age were you at diagnosis?

Question Title

* 6. Is your liver cancer primary or metastatic?

Question Title

* 7. Were there underlying factors that contributed to your Liver Cancer diagnosis?

Question Title

* 8. What symptoms did you experience before diagnosis?

Question Title

* 9. How were you diagnosed?

Question Title

* 10. What is your current liver cancer status?

Question Title

* 11. Are you currently being followed by an oncologist?

Question Title

* 12. Is a liver transplant an option?

Question Title

* 13. At time of diagnosis did you feel you were given adequate information and support?

Question Title

* 14. After your diagnosis how did you try to find out more information?

Question Title

* 15. How has Liver Cancer impacted your life socially, financially, emotionally?

Question Title

* 16. What support services would be helpful to you and your caregivers?

Question Title

* 17. Please share any additional comments/observations regarding your Liver Cancer journey.

Question Title

* 18. Optional contact information *not required*

* 18. Optional contact information not required