Inclusion Criteria:  Patients 18 years of age and older Patients with any type of cancer diagnosed within 5 years and/or living with advanced disease Patients who score 22 or lower on the COST measure indicating high FT Patients must be able to read and speak English  Exclusion Criteria:  Participants without a cancer diagnosis Patients diagnosed more than 5 years ago without advanced disease Patients or caregivers under the age of 18 Patients who do not sign the consent form Patients who do not complete the baseline COST survey Patients who cannot read and speak English