1. Please select the option below that best describes your current position Attending Fellow Nurse Practitioner Physician Assistant Registered Nurse
2. For a given patient being seen in the outpatient setting, who is/are the main medical provider(s) responsible for history, physical exam, lab review and prescription writing during each clinic visit? Attending alone Fellow with attending supervision NP with attending supervision PA with attending supervision Other (please specify)
3. Is/are the providers identified in the above question the same people who provide patient education (ie. dosing, calendar, duration) regarding home administration of oral chemotherapy? (Please select all that apply) Yes No Sometimes
4. If different from above, who are the providers responsible for patient-education during clinic visits? (Please select all that apply) Attending Fellow Nurse Practitioner Physician Assistant Registered Nurse Other (please specify)
5. At the initiation of Consolidation II and Continuation phase, how is information about oral chemotherapy administration provided to patients and caregivers (Please select all that apply) Drug information printed summaries Direct discussion with patient/caregiver Other (please specify)
6. How do you assess parent/caregiver understanding of information given by the medical team? Ask patient/caregiver to describe the information they were given No formal assessment Other (please specify)
7. Oral Dexamethasone: Once a patient is in his/her Continuation phase of therapy, how frequently do you (please select one best option)
	Once at the beginning of Continuation	At the start of every new cycle	Every few months	Varies depending on the family	Never	I do not personally review
Review the fact that in this setting, Dexamethasone is a chemotherapeutic agent?
Identify the caregiver responsible for medication administration at home?
Inquire about missed medication doses?
8. Mercaptopurine (6-MP): Once a patient is in his/her Continuation phase of therapy, how frequently do you (please select one best option)
	Once at the beginning of Continuation phase of therapy	At the start of every new cycle	Every few months	Varies depending on the family	Never	I do not personally review
Review the fact that 6-MP is a chemotherapeutic agent?
Identify the caregiver responsible for medication administration at home?
Review administration guidelines for 6-MP (ie. dairy consumption and daily dose-timing)?
Inquire about missed medication doses?
9. In your opinion, how well do you think your patients and their caregivers understand the importance of oral chemotherapy in the context of their overall treatment plan? All of my patients/caregivers understand Majority of my patients/caregivers understand Minority of my patients/caregivers understand Unsure
10. If an educational intervention were to be developed in order to improve understanding of oral chemotherapy administration by patients/caregivers, what materials or teaching methods (frequency, aims) might prove useful? What suggestions do you have regarding approach to patient education and optimization of health literacy in your patients and their caregivers?