RCT of QPS vs General Information Sheet

Inclusion Criteria: * (Patient participation) First outpatient consultation visit with a palliative care specialist * (Patient participation) Normal cognitive status, defined as a normal state of arousal and an absence of obvious clinical findings of confusion, memory deficits or concentration deficits, as determined by the patient's physician * (Patient participation) Ability to read and communicate in English * (Patient participation) Diagnosis of advanced cancer * (Patient participation) Signed written informed consent form * (Caregiver participation) accompanied the patient to the clinic visit * (Caregiver participation) is identified by the patient as someone who is actively involved in their overall care * (Caregiver participation) is able to read and communicate in English * (Caregiver participation) is willing to participate in the study and able to complete the questionnaires * (Physician participation) a palliative medicine specialist * (Physician participation) seeing the patient in consultation on the day of the study * (Physician participation) willing to participate in the study Exclusion Criteria: * Refusal to participate in the study