• What are my treatment options?
• How will these options impact my ability to join a clinical trial later?
• Am I a candidate for a clinical trial?
• If I participate in a clinical trial, will I need to go somewhere else to be treated?
• Am I limited to trials offered by this institution?
• Would you still be my doctor?
• Do you know of any clinical trials that would be appropriate for me?
  (If a particular trial is mentioned, skip to the next set of questions.)
• If you were me, knowing what you know, would you join a trial?

• How does this treatment work?
• What will my participation entail?
• What are the possible benefits?
• What are the side effects?
• If I weren’t in this trial, what treatment would you recommend for me?
• Do you think that what’s being offered in the clinical trial is as good or better than what you’d offer me if I decide not to participate in the trial?
• Would you still be my doctor?
• Would I need to travel anywhere?
• Will my insurance help cover costs?
• Is there financial assistance available?
• If you were me, knowing what you know, would you join this trial?
• Will participating in this trial impact future treatment decisions?
• What tests are required before joining the trial?
• Is there anything I need to do before we start?

• Do you know of any clinical trials that would be appropriate for me?

Note that you will need to provide your physician with at least one of the following details:

1. ClinicalTrials.gov identifier NCT#___________
   (this is typically the best information to provide)
2. Principal Investigator
3. Sponsor

IF NO:

• Would you mind looking into it and letting me know what you think of it?

IF YES:

• What do you think of it?
• Would I be a candidate for it?
• Do you feel it would be a good path for me? Why or why not?
• What does the treatment actually involve?
• How does the treatment work?
• What are the possible benefits?
• What are the side effects?
• If I don’t pursue this trial, what would you recommend for me?
• Is there a different trial you’d recommend?
• Do you think what’s being offered in the clinical trial is as good or better than what you’d offer me if I decide not to participate in the trial?
• If you were me, knowing what you know, would you join this trial?