Child Life Video Survey

Hello,
Thank you for watching the Talking with Your Child About a Cancer Diagnosis video!

Please help us improve our services by answering this short survey about the video.
This survey will take less than 3 minutes.

Thank you

Question Title

* 1. How helpful do you think this video was for you?

Please select the best answer:

Extremely helpful

Very helpful

Somewhat helpful

Not helpful

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* 2. After watching this video, what actions are you likely to take?

I am thinking about talking with my child about a cancer diagnosis

Now that I have seen this video, I feel ready to talk with my child about my diagnosis

Even after watching this video, I still don’t feel ready to talk to my child

I will be requesting a Child Life referral from my health care team at City of Hope

Question Title

* 3. How can we improve?
Please tell us your thoughts.

What would make this video more helpful?

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* 4. Was there more information you were hoping to receive from this video that you did not?

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* 5. What other topics would you like to see us create video education about?

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* 6. Are you or someone you know being treated at City of Hope?

Yes, currently in treatment at City of Hope

No, previously treated at City of Hope

In treatment somewhere else

Was in treated in the past somewhere else

Not applicable

Other (please specify)

Thank you for taking some time to give us your valued opinion.

Please visit cityofhope.org/childlife and review the resources at the bottom of the page for more information.

While you're here.....
Do you know what Child Life Specialists do?

Each of City of Hope's child life specialists is a master's certified professional, and can help restore a sense of normalcy to children’s lives with:

-Age-appropriate education for procedures, surgeries, treatments and other medical events
-Preparation for visiting their caregiver or sibling; orientation to the medical environment including the Intensive Care Unit
-Therapeutic interventions to help children and/or teens for optimal growth and development
-Grief interventions and resources
-Parenting and communication education

Child Life Video Survey

Question Title

* 1. How helpful do you think this video was for you?Please select the best answer:

Question Title

* 2. After watching this video, what actions are you likely to take?

Question Title

* 3. How can we improve? Please tell us your thoughts.What would make this video more helpful?

Question Title

* 4. Was there more information you were hoping to receive from this video that you did not?

Question Title

* 5. What other topics would you like to see us create video education about?

Question Title

* 6. Are you or someone you know being treated at City of Hope?

* 1. How helpful do you think this video was for you?

Please select the best answer:

* 3. How can we improve?
Please tell us your thoughts.

What would make this video more helpful?