Survey

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Are you a stomach or gastric cancer patient or caregiver?

Patient
Caregiver
Neither (end survey)

In order to participate in this form, you must be a stomach or gastric cancer patient or caregiver.

How long have you (or the person under your care) been diagnosed with stomach cancer?

Less than 1 month
1 to 6 months
6 months to 1 year
Over 1 year

Have you heard of biomarker testing for stomach cancer before?

Yes
No
Unsure

On a scale of 1 to 5, how familiar are you with biomarker testing for stomach cancer?

1 (Not familiar at all)	2	3	4	5 (Very familiar)
1 (Not familiar at all)Purchase 1 (Not familiar at all)	2Purchase 2	3Purchase 3	4Purchase 4	5 (Very familiar)Purchase 5 (Very familiar)

There are different types of stomach cancer. Biomarkers are specific details about a patient’s health and their stomach cancer. Examples of biomarkers are things like genetics or if estrogen plays a role in their cancer. Knowing your biomarkers can lead to more targeted treatments. There are currently 5 known biomarkers for stomach cancer. There are very likely more and research is ongoing. Which of the following biomarkers are commonly tested for stomach cancer? (Select all that apply)

HER2+
FGFR
PD-L1
KRAS
BRAF
Claudin 18.2
MSI/dMMR
EBV+
None of the above
Unsure

How would you rate your understanding of the benefits of biomarker testing for stomach cancer?

1 (No understanding)	2	3	4	5 (High understanding)
1 (No understanding)Purchase 1 (No understanding)	2Purchase 2	3Purchase 3	4Purchase 4	5 (High understanding)Purchase 5 (High understanding)

Which of the following benefits do you associate with biomarker testing for stomach cancer? (Select all that apply)

Personalized treatment options
Improved treatment response rates
Reduced side effects from treatment
Early detection of cancer recurrence
None of the above

If not proactively offered by your doctor, do you know how to get biomarker testing?

Yes
No
Unsure

If you answered "Yes" to the previous question, how would you request biomarker testing?

Ask my doctor or other medical professional about testing
Do an online search for facilities that perform testing
Ask other patients
All of the above
Unsure

On a scale of 1 to 5, how cost-prohibitive do you perceive biomarker testing for stomach cancer?

1 (Not cost-prohibitive at all)	2	3	4	5 (Very cost-prohibitive)
1 (Not cost-prohibitive at all)Purchase 1 (Not cost-prohibitive at all)	2Purchase 2	3Purchase 3	4Purchase 4	5 (Very cost-prohibitive)Purchase 5 (Very cost-prohibitive)

Have you discussed biomarker testing with your doctor?

Yes
No
Unsure

Have you undergone biomarker testing?

Yes
No
Unsure

If you answered "Yes" to the previous question, do you have any known biomarkers?

Yes
No
Unsure

If you answered "Yes" to the previous question, which of the following biomarkers do you have?

HER2+
FGFR
PD-L1
KRAS
BRAF
Claudin 18.2
MSI/dMMR
EBV+
Other

If you answered "Other" to the previous question, which biomarkers do you have that were not mentioned?

On a scale of 1 to 5, how important do you think it is for healthcare providers to discuss the cost of biomarker testing with patients?

1 (Not important)	2	3	4	5 (Very important)
1 (Not important)Purchase 1 (Not important)	2Purchase 2	3Purchase 3	4Purchase 4	5 (Very important)Purchase 5 (Very important)

Have you faced financial barriers in accessing biomarker testing for stomach cancer?

If you answered "Yes" to the previous question, what financial barriers did you face? (Select all that apply)

I do not have insurance
I have insurance but biomarker testing wasn’t covered
Paid out of pocket and it was expensive
Not applicable (have not had biomarker testing)
Unsure

What is your age?

Under 18 years
18 to 24 years
25 to 34 years
35 to 44 years
45 to 54 years
55 to 64 years
Age 65 or older

Are you of Hispanic, Latino, or Spanish origin?

What is your race?

Latino/a/x/Hispanic
Black/African-American
White
Asian / Asian-American
Native Hawaiian / Pacific Islander
Native American/Alaskan Native/Indigenous
Middle Eastern/North African
Multi-ethnic/Multi-racial
Other

For purposes of this question, persons of Spanish/Hispanic/Latino origin may be of any race.

Do you live in the US?

City

State

Country

In order to participate in this form, you must be a stomach or gastric cancer patient or caregiver.

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