Table 1. Example Questionnaire Items.

What was your age at MM diagnosis?

What is your gender? □ Male □ Female

Were you employed when you were diagnosed and began treatment for MM? □ Yes □ No

If you were employed at diagnosis or during MM treatment, did you apply for disability? □ Yes □ No

Did you have health/medical insurance when you were diagnosed with MM? □ Yes □ No

Do you still have the same health/medical insurance? □ Yes □ No

If not, when did the health/medical insurance stop?

What was the reason?

Were you able to obtain other health/medical insurance?

Approximately what percent of your income was used for expenses related to MM treatment (i.e. insurance co-pay or deductible, prescription medications, home health care, travel to medical care site, lodging for travel to medical care site, etc.) during your first year for MM treatment?

Did you experience any financial hardships due to these treatment-related expenses? □ Yes □ No

If yes, explain: