TABLE A1.

Below is a list of statements that other people with your illness have said are important. Please select one statement per line to indicate your response as it applies to the past 7 days^14,15

	Not at all	A little bit	Somewhat	Quite a bit	Very much
I know that I have enough money in savings, retirement, or assets to cover the costs of my treatment	○	○	○	○	○
My out-of-pocket medical expenses are more than I thought they would be	○	○	○	○	○
I worry about the financial problems I will have in the future as a result of my illness or treatment	○	○	○	○	○
I feel I have no choice about the amount of money I spend on care	○	○	○	○	○
I am frustrated that I cannot work or contribute as much as I usually do	○	○	○	○	○
I am satisfied with my current financial situation	○	○	○	○	○
I am able to meet my monthly expenses	○	○	○	○	○
I feel financially stressed	○	○	○	○	○
I am concerned about keeping my job and income, including work at home	○	○	○	○	○
My cancer or treatment has reduced my satisfaction with my present financial situation	○	○	○	○	○
I feel in control of my financial situation	○	○	○	○	○

Financial Distress Questionnaire (FDQ)^16,17

1. Does your current household income meet your basic needs (such as food, housing, utilities, and health care)?

   • Yes
   • No
2. How difficult is it to pay for your basic needs?

   • Not at all difficult
   • Somewhat difficult
   • Extremely difficult