Inclusion Criteria:  Age 18 or older MGH Cancer Center patient Within 6 months of diagnosis of metastatic NSCLC with oncogenic driver mutation (EGFR, ALK, ROS1, RET) Receiving targeted therapy Ability to respond in English or Spanish  Exclusion Criteria:  Cognitive impairment or serious mental illness that limits ability to provide informed consent Need for urgent palliative care or hospice referral Pregnant women Prisoners