OncoLink Cancer Resources
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Enquesta (survey) en espanol

Answer the following questions about the cancer survivor:
Sex
Race
Age at Diagnosis
Current Age
Highest Education Level
What is your relationship to the patient?
Have you (or the patient) ever been offered survivorship health information before?
Has a LIVESTRONG Care Plan been created for this survivor before today?
Have you (or the patient) ever received a treatment summary?
Who is currently managing your healthcare needs?
If other, please specify:
What is your geographical location? USA
Canada
Other Country

Where do you consider yourself living? Urban (city)
Suburban (Near city)
Rural (Country side)
Where have you received most of your cancer care? University based cancer center
Non-university based hospital cancer center
Private doctor's office
Combination of these
How far do you live from the cancer center where you received most of your cancer treatment? Less than 20 miles (32 kilometers)
Greater than 20 miles (32 kilometers)