The following questions are designed to give Triage Cancer better insights into what types of issues health care professionals are encountering when interacting with patients. We appreciate you taking the time to answer these questions!

If you have any questions about Triage Cancer or this survey, please email us at info@TriageCancer.org.

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* 1. Please provide your email address to join our newsletter and to be entered into a drawing for a $50 Visa gift card (drawings will occur quarterly (March 31, 2020; June 30, 2020; September 30, 2020;  and December 18, 2020), and recipient will be notified by email).

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* 2. Are you a: (check all that apply)

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* 4. In your opinion, how important is it to include the following issues in distress screening and clinical assessment of patients?

  Very Important Somewhat Important Important Neutral Not Important
Employment
Health Insurance
Financial Issues

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* 5. Would you be interested in any of the following opportunities? Check all that apply. (If yes, please make sure to provide your email above.)

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* 6. Do your patients ask for guidance on how they can continue to work while going through treatment?

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* 7. How comfortable are you answering patients' questions about the Americans with Disabilities Act (ADA)?

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* 8. How comfortable are you answering patients' questions about the Family and Medical Leave Act (FMLA)?

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* 9. Do your patients express concern about disclosing their diagnosis to others?

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* 10. How comfortable are you answering patients' questions about disclosing their diagnosis to others?

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* 11. Do your patients ask for guidance on possible health insurance options?

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* 12. How comfortable are you answering patients' questions about health insurance options?

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* 13. How comfortable are you answering patients' questions about changes to our health care system?

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* 14. Do your patients ask for guidance on managing their finances?

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* 15. How comfortable are you answering patients' questions about managing their finances?

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* 16. Do your patients ask for guidance about participating in a clinical trial?

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* 17. How comfortable are you answering patients' questions about participating in a clinical trial?

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* 18. Do your patients ask for guidance about disability Insurance?

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* 19. How comfortable are you answering patients' questions about disability insurance?

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* 20. Is there anything else you think Triage Cancer should know about the types of issues your patients are facing?

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* 21. What resources do you find most helpful for your work?

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* 22. Which platform do you prefer to receive education?

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* 23. What social media platforms do you use the most?

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