Inclusion Criteria:  Age ≥18 years English fluency No diagnosed dementia Diagnosis of advanced cancer Expected prognosis > 6 months Provide informed consent Ability to complete questionnaire(s) by themselves or with assistance  Exclusion Criteria:  Other psychological co-morbidities such as untreated schizophrenia, bipolar disease Recent suicide attempt or psychiatric illness severe enough that hospitalization has been necessary in last 6 months Active delirium Participation in concurrent legacy offerings through the palliative care clinic