Answer each question by marking the box to the left of your answer.
You are sometimes told to skip over some questions in this survey. When this happens you will be directed to what question to answer next.
Do not include any other hospital stays in your answers.
The remaining questions in this survey will refer to the hospital or clinic named in Question 1 as “this cancer center.” Please think of that facility as you answer the survey.
Thank you.Please return the completed survey in the postage-paid envelope.