Have we helped to improve your cancer care?

Please take a few minutes to fill out this survey on the quality and effectiveness of the service you received from your nurse advocate. Beacon Oncology Nurse Advocates welcomes your feedback and your answers will be kept confidential. Thank you for your participation.

I am the:
I first learned about Beacon Oncology Nurse Advocates from:
Other:
Where are you (or your loved one) in your cancer journey?

Please check the following services that you or your loved one received from Beacon
To select multiple answers, please hold down Ctrl and click on your answers
Navigation Services:
Education Services:
Research Services:
Advocacy Services:
Coordination Services:

Please rate your level of agreement with the following statements
Because of Beacon’s involvement
I have the confidence to make informed decisions regarding cancer treatment:
I was relieved knowing that my advocate has been involved in my (our) care:
I believe that I (we) have received better cancer care:
I believe that I (we) am the center of my medical team:
I believe that my (our) medical team appreciated my advocate’s involvement:
(cancer survivors only) my long-term and late effects of cancer treatment have been addressed and better managed:

Would you recommend Beacon Oncology Nurse Advocates to others?

Please provide us some additional feedback speaking to your experience with Beacon Oncology Nurse Advocates
What value do you believe Beacon Oncology Nurse Advocates has brought to your situation? Feel free to mention – * your experience with your initial engagement with Beacon Oncology Nurse Advocates * any concerns/challenges you had * how your concerns were handled * your expectations/goals of engagement, and the final results
Please list any areas in which our service could be improved.

Personal Information
First Name:  
Last Name:  
Address:
City:
State:
Zipcode:
Telephone:
Email: