| Do you have financial questions? | 1 | 2 | 3 | 4 | 5 |
| Are you more informed about where and how to get financial information? | 1 | 2 | 3 | 4 | 5 |
| Do you feel better able to tackle financial issues? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss financial issues with your health care providers? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss financial issues with your family/friends? | 1 | 2 | 3 | 4 | 5 |
| Are you interested in using complementary therapies? | 1 | 2 | 3 | 4 | 5 |
| Will the information provided today be useful to you? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss complementary therapies with your health care providers? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss complementary therapies with your family/friends? | 1 | 2 | 3 | 4 | 5 |
| Do you currently have questions about nutrition? | 1 | 2 | 3 | 4 | 5 |
| Will it help you meet your nutritional needs? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss nutrition issues with your physician? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss nutrition issues with your family/friends? | 1 | 2 | 3 | 4 | 5 |
| Do you have concerns about your support network? | 1 | 2 | 3 | 4 | 5 |
| Was the exercise about your personal support network useful? | 1 | 2 | 3 | 4 | 5 |
| Will you talk about your need for support with health care providers. | 1 | 2 | 3 | 4 | 5 |
| Will you talk about your need for support with family/ friends? | 1 | 2 | 3 | 4 | 5 |
| Do you have access to community resources? | 1 | 2 | 3 | 4 | 5 |
| Will the information provided today be helpful in identifying and accessing community resources. | 1 | 2 | 3 | 4 | 5 |
| Will you discuss your need for resources with your health care providers? | 1 | 2 | 3 | 4 | 5 |
| Will you discuss your need for resources with your family/ friends? | 1 | 2 | 3 | 4 | 5 |