Defining Musical Toxicity and Its Effect on Patient Well-being

Inclusion Criteria

• * Adults ≥ 18 years or older * Active or accomplished musicians ** Those performing in the community as part of a group or as a soloist ** Those teaching lessons in an individual or group setting ** Those for whom music teaching or performance is a primary source of income ** Those who play music multiple times per week * Our ideal cohort will consist of an equal number of patients with the following malignancies above the diaphragm: ** Brain ** Head and Neck ** Esophagus or Lung ** Breast * Our ideal cohort will consist of an equal number of patients who engage in the following musical endeavors: ** Stringed instruments ** Wind instruments (including woodwind and brass instruments) ** Keyboard instruments ** Vocalists

Exclusion Criteria

• * < 18 years * Did not regularly attempt to engage in musical endeavors during or after cancer treatment * Not willing or able to complete the questionnaire or engage in a one-hour interview (i.e. limited English proficiency)