Survey Goals:  To gain a better understanding of the unmet needs of cancer caregivers and provide actionable information and resources to help meet these needs. 
All survey responses are anonymous. No tracking information is collected.

Questions?  Comments? 
Contact:  Martha Raymond info@TheRaymondFoundation.org
For more information on our caregiver resources, visit: 
www.TheRaymondFoundation.org 

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* 1. What unmet needs are you currently experiencing?  (emotional support, practical day-to-day support, peer support, educational information, lack of resources, financial security, etc.)

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* 2. As a caregiver, how you are feeling at this moment?

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* 3. What advice would you give to a new cancer caregiver?

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* 4. Are you satisfied with the level of communication that the healthcare team provides you and the patient you care for?  (communication regarding treatment goals, treatment options, side-effect management, quality of life during treatment, etc.)

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* 5. Do you have the information necessary to help make healthcare decisions in partnership with the patient you care for?

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* 6. Are you an equal partner in the healthcare decision making process? (equal partner with the patient you care for & the healthcare team)

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* 7. Do you have the necessary information and skills you need to help manage treatment related side effects and report adverse effects to the healthcare team when needed?

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* 8. Do you and the patient you care for have conversations with the healthcare team about treatment goals during each phase of treatment?

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* 9. Have you and the patient you care for discussed quality of life concerns based on treatment decisions with the healthcare team?

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* 10. As a caregiver, do you feel empowered and have the tools you need to advocate for the patient you care for?

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* 11. What tools, information or support would help you feel more empowered to better advocate for the patient you care for?

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* 12. For the patient you care for, what is their stage of disease and cancer type?

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* 13. What is your age?  (Optional)

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* 14. What is your ethnicity? (Optional)

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