Impact of Human-Animal Interactions on Children With Life-Threatening Conditions and Their Parents

Inclusion Criteria: Child: * Children age 6-17 years old that have been diagnosed with advanced cancer as defined by any stage of relapsed, recurrent or refractory cancer * Able to understand English or Spanish to complete consents and surveys Parent or Guardian: * Parent or guardian as determined by person who brings child to \>50% of their clinic visits * Able to understand English or Spanish to complete consents and surveys Exclusion Criteria for both Children and Parent/Guardian: * Self-reported fear of or allergies to canines * Cognitive impairment as identified by healthcare team or inability to complete consenting process