Patient and Caregiver Feedback

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100%

The current COVID-19 pandemic (select all that apply):

Makes me less likely to change my present CLL therapy

Makes me less likely to start a new CLL therapy

Makes me less likely to have lab work done

Makes me less likely to receive IV infusions

Makes me less likely to receive therapy that requires close monitoring

Makes me less likely to receive therapy that requires hospitalization

Will have no influence on my therapy decision

Not applicable

Which is the single most important factor in helping you or your loved one take CLL medication every day?

Reminders from a caregiver

Setting an alarm reminder

Taking medication with meals

Using a pillbox

Using a medication reminder app on my phone or device

Not applicable

Other, please specify:

In the past 12 months, have you experienced any mental health challenges?

Yes

No

Unsure

Prefer not to say

Which best describes your role with CLL?

CLL patient 

Caregiver to a CLL patient

Loved one of CLL patient (but not the primary caregiver) 

Healthcare professional 

Prefer not to say

Other, please specify:

What is your gender?

Male 

Female

Non-binary/third gender

Transgender 

Prefer not to say

Prefer to identify as:

Please specify your race and ethnicity; select all that apply:

White or Caucasian 

Hispanic or Latino 

 Black or African American 

Asian or Asian American 

Indigenous, First Nation, American Indian or Alaska Native 

Native Hawaiian or Pacific Islander 

Don’t know / Not sure 

Prefer not to say

Other, please specify:

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