Table 3.

Intervention 2: responses to questions in 205 submitted Epic previsit questionnaires.

		Values, n (%)
1. Identify what matters most to you in your life and health. Think about what gives your life meaning, purpose, joy, or satisfaction. Select items from the following that matter most to you right now. We suggest you select up to 3.		196 (95.6)
	(If other) Please explain (free text).	3 (1.5)
2. Based on what you selected above as what matters most to you, what specific activity would you like to be able to do now? This activity should be one that you think is realistic to achieve, with help from your health care team. This activity is your health goal (free text).		188 (91.7)
3. You may have several bothersome symptoms or health problems. Which ones most interfere with achieving your health goal? We suggest you choose 1 or 2.		188 (91.7)
	(If other) Please explain (free text).	24 (11.7)
4. It is helpful for your clinicians to know what health care tasks you find difficult or burdensome. Below is a list of common health care tasks. You may do some of them regularly. Which ones do you find the most burdensome or not helpful? We suggest you select 1 or 2.		184 (89.8)
	(If other) Please explain (free text).	22 (10.7)
5a. Now please think about your medications. Do any of them cause problems such as dizziness, tiredness, or confusion, or do they cost too much? Does the discomfort they cause outweigh any positive effect?		195 (95.1)
	Please enter the name of a medication you find most burdensome or not helpful (free text).	20 (9.8)
	What makes the medication burdensome? (free text).	19 (9.3)
5b. Do you have any other medications you find burdensome?		19 (9.3)
	(If yes) Please specify the name of an additional medication you find most burdensome or not helpful (free text).	0 (0)
	What makes the medication burdensome? (free text).	0 (0)
6. Please review your health goal (#2 above) and the things you selected as most burdensome (#3, #4, and #5). Among the burdensome symptoms, tasks, and medications you selected, which 1 thing most interferes with achieving your health goal? (free text)		129 (62.9)
7. It is also important for your health care team to know what health care tasks you find helpful. Please review the list of common health care tasks again. This time, select those you find most helpful. We suggest you select 1 or 2.		181 (88.3)
	(If other) Please explain (free text).	7 (3.4)
8. It is also important for your health care team to know what medications you find helpful. Please think about your medications again and specify the name of a medication you find most helpful (free text).		149 (72.7)
	Do you have any other medications that you find helpful?	139 (67.8)
	(If yes) Please enter the name of another medication you find most helpful (free text).	52 (25.4)