Cancer Health_Winter_2019

Joining a clinical trial can be a good way to gain access to promising experimental treatments, but it’s important to weigh the potential risks and benefits. Cancer Health wants to know about your experience with clinical trials.

1) If you have been diagnosed with cancer, what type was it?

2) Where are you in the treatment process?

I have not yet started treatment. I am currently receiving treatment. I have finished treatment and have no evidence of cancer. I finished treatment, but the cancer is still present or has come back. I will not receive further treatment beyond palliative care.

3) What type of treatment have you received? (Check all that apply.)

Surgery Radiation therapy Traditional chemotherapy Hormone or endocrine therapy Targeted or precision therapy Immunotherapy

4) Have you participated in a clinical trial of an experimental cancer treatment?

Yes No

5) If yes, what type of treatment was studied in the trial?

Traditional chemotherapy Hormone or endocrine therapy Targeted therapy Checkpoint inhibitors CAR-T therapy Cancer vaccines or other immunotherapy Therapies for managing side effects

6) If yes, what motivated you to participate? (Check all that apply.)

Access to cutting-edge therapies Existing treatments did not work or had stopped working Existing treatments caused too many side effects Encouraged to participate by members of medical care team Access to quality care at a leading medical center Care and monitoring offered at no cost Wanted to advance scientific knowledge Wanted to help other people with cancer

7) If you haven’t participated in a trial, have you ever talked with your care team about doing so?

Yes No

8) What year were you born?

9) What is your gender?

Male Female Transgender

10) What is your ethnicity? (Check all that apply.)

American Indian or Alaska Native Arab or Middle Eastern Asian Black or African American Hispanic or Latino Native Hawaiian or other Pacific Islander White

11) What is your household income?

Less than $25,000 $25,000–$49,999 $50,000–$99,999 $100,000–$149,999 $150,000–$199,999 $200,000 or more

12) What is your zip code?

Enter the message as it's shown *

Clinical Trials