Triage Cancer Health Care Professional Needs Assessment
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Exit Survey
On average, how many patients do you see a month?
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
Would you be interested in any of the following opportunities? Check all that apply. (If yes, please make sure to provide your email above.)
Training for health care professionals on employment issues.
Training for health care professionals on health and disability insurance issues.
Patient and caregiver educational event that includes employment, disability, & health insurance issues hosted at your institution.
Do your patients ask for guidance on how they can continue to work while going through treatment?
Yes
No
NA
How comfortable are you answering patients' questions about the Americans with Disabilities Act (ADA)?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
How comfortable are you answering patients' questions about the Family and Medical Leave Act (FMLA)?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Do your patients express concern about disclosing their diagnosis to others?
Yes
No
NA
How comfortable are you answering patients' questions about disclosing their diagnosis to others?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Do your patients ask for guidance on possible health insurance options?
Yes
No
NA
How comfortable are you answering patients' questions about health insurance options?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
How comfortable are you answering patients' questions about changes to our health care system?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Do your patients ask for guidance on managing their finances?
Yes
No
NA
How comfortable are you answering patients' questions about managing their finances?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Do your patients ask for guidance about participating in a clinical trial?
Yes
No
NA
How comfortable are you answering patients' questions about participating in a clinical trial?
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Is there anything else you think Triage Cancer should know about the types of issues your patients are facing?
What resources do you find most helpful for your work?
What outlet/platform would you like this information distributed to you?
Written Materials like Quick Guides
Webinars
CancerFinances.org
Social media posts
Blog posts
In-person events
Other
What social media platforms do you use the most?
Twitter
Facebook
Instagram
LinkedIn
Google+
Other
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