When was your most recent oncology appointment?
- Within the last 30 days
- 31–90 days ago
- 3–6 months ago
- 6–12 months ago
- More than 12 months ago
In the last 6 months, which types of oncology care did you use? Select all that apply.
- Medical oncologist
- Radiation oncologist
- Surgical oncologist
- Infusion/chemotherapy center
- Imaging/radiology
- Survivorship/after-treatment clinic
- Palliative care
- None of the above
Overall, how easy has it been to access the oncology care you needed in the last 3 months?
Scale: 10 (star)
Min: Very difficultMax: Very easy
How did you schedule your most recent oncology appointment?
- Phone call to clinic
- Patient portal/online
- In person at the clinic
- Referral arranged by another office
- Someone else scheduled for me
For your most recent appointment, how easy was it to get a convenient date and time?
Range: 1 – 10
Min: Very difficultMid: NeutralMax: Very easy
About how many days were there between scheduling and that appointment? If same-day, enter 0.
Accepts a numeric value
Whole numbers only
Rank the barriers that made arranging care difficult in the last 3 months (top = biggest barrier). If none applied, leave blank.
Drag to order (top = most important)
- Finding available appointment times
- Getting insurance approval/authorizations
- Travel/transportation or parking
- Cost or co-pays
- Work or caregiving conflicts
- Not knowing whom to contact
Attention check: To confirm you are reading the questions, please select Agree.
- Strongly disagree
- Disagree
- Neither
- Agree
- Strongly agree
In the last 3 months, to what extent do you agree or disagree with the following statements?
| Rows | Strongly disagree | Disagree | Neither | Agree | Strongly agree |
|---|
| My care team shared information so I did not need to repeat my history | • | • | • | • | • |
| I knew who to contact with questions between visits | • | • | • | • | • |
| Test results were communicated promptly | • | • | • | • | • |
| Different specialists were aligned on my treatment plan | • | • | • | • | • |
| I received clear follow-up instructions | • | • | • | • | • |
Is there one person who helps coordinate your oncology care across providers?
After your most recent visit, did you receive a written or electronic care plan with next steps?
In the last 6 months, which navigation or support services did you use? Select all that apply.
- Nurse navigator
- Care coordinator
- Social worker
- Financial counselor
- Transportation assistance
- Language interpreter
- Education classes/materials
- Did not use any of these
If you used any navigation or support services, how helpful were they overall?
Scale: 10 (star)
Min: Not helpfulMax: Extremely helpful
In the last 3 months, how clear was the information you received about your treatment options?
Range: 1 – 10
Min: Very unclearMid: NeutralMax: Very clear
In the last 3 months, which ways did your care team communicate with you between visits? Select all that apply.
- Phone calls
- Patient portal messages
- Email
- Text/SMS
- Video visit/telehealth
- Printed letters
- No contact between visits
What is your age?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65–74
- 75 or older
- Prefer not to say
Which best describes your gender?
- Woman
- Man
- Non-binary
- Prefer not to say
Country of residence
Max 100 chars
What is the highest level of education you have completed?
- Less than high school
- High school diploma or equivalent
- Some college or 2-year degree
- Bachelor’s degree
- Graduate or professional degree
- Prefer not to say
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Unemployed and looking for work
- Student
- Retired
- Homemaker/caregiver
- Unable to work
- Prefer not to say
Which racial or ethnic groups do you identify with? Select all that apply.
- American Indian or Alaska Native
- Asian
- Black or African American
- Hispanic or Latino/a/x
- Middle Eastern or North African
- Native Hawaiian or Pacific Islander
- White
- Another group
- Prefer not to say
What could we improve to make navigating and coordinating your care easier?
Max 600 chars
AI Interview: 2 Follow-up Questions on your care experience
AI InterviewLength: 2Personality: Expert InterviewerMode: Fast Thank you for completing the survey. Your feedback helps us improve oncology care access, scheduling, and coordination.