Cancer Health Reader Survey 2017

Cancer Health Reader Survey
Cancer Health wants to know how cancer affects you.

According to the National Cancer Institute, in 2017, more than 1.6 million people will be diagnosed with cancer in the United States. Furthermore, about 40 percent of people will be diagnosed with cancer at some point in their life.

Surveys, like everything else on the site, are covered by the CancerHealth.com privacy policy. Thank you for sharing your thoughts!
1) Have you ever been diagnosed with cancer?

YesNo
2) Has anyone in your family been diagnosed with cancer?

YesNo
3) If you have been diagnosed with cancer, what type was it? (Check all that apply.)

Anal cancerBladder cancerBlood cancer (leukemia, lymphoma, multiple myeloma)Bone cancerBrain cancerBreast cancerCervical cancerColon cancerKidney cancerLiver cancerLung cancerOral cancerOvarian cancerPancreatic cancerProstate cancerSkin cancerStomach cancerTesticular cancerThyroid cancerOther
4) How was your cancer discovered?

It was discovered during a routine cancer screening.I felt an unusual lump.I went to my health care provider with symptoms.I went to my health care provider for something unrelated.I went to the emergency room with symptoms.Other
5) Where are you in the diagnosis and treatment process?

I have not yet started treatment.I am currently in treatment.I have finished treatment, and I have no signs or symptoms of cancer.I have finished treatment, but the cancer is still present or came back.
6) What type(s) of treatment(s) have you received? (Check all that apply.)

SurgeryChemotherapyRadiation therapyTargeted therapyImmunotherapyOther
7) Were you given a choice of treatment?

YesNo
8) Have you experienced any of the following side effects from your cancer treatment?

AnemiaChange in moodCognitive or memory changesConstipationDiarrheaFatigueFertility problemsFeverHair lossInfectionsInsomnia/problems sleepingLoss of appetiteNausea and vomitingPainSexual side effectsSwelling (edema)Other
9) Where do get your information about cancer treatment options? (Check all that apply.)

Health care providerFamily or friendsSupport groupsHealth publicationsHealth websitesCancer websitesOther
10) What types of support and services have you used?

Counseling or therapySupport groupsOnline forumsFinancial assistanceLodging assistanceTransportation assistanceHome health careHospice servicesOther
11) Are there any other types of support services or information that you would find useful?
12) What year were you born?
13) What is your gender?

MaleFemaleTransgenderOther
14) What is your sexual orientation?

StraightGay/lesbianBisexualOther
15) What is your ethnicity? (Check all that apply.)

American Indian or Alaska NativeArab or Middle EasternAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
16) What is your current level of education?

Some high schoolHigh school graduateSome collegeBachelor’s degreeGraduate and higher
17) What is your annual household income?

Up to $34,999$35,000–$49,999$50,000–$74,999$75,000–$99,999$100,000-$249,999$250,00 and over
18) What is your employment status?

Employed, full-timeEmployed, part-time or freelanceUnemployed, on disabilityUnemployed, not on disability
19) What is your ZIP code?
Enter the message as it's shown*
Should be Empty: