Inclusion Criteria:  Patients with the diagnosis of advanced cancer as defined as locally advanced, recurrent or metastatic cancer. Both solid and liquid tumors are eligible for the study Patients who are seen in the outpatient supportive care center at M.D. Anderson Cancer Center Patients who have access to a recording device or cellphone with recording technology Patients who can be contacted 7 to 11 days from the clinic visit that the recording took place Patients who can sign informed consent Patients who are able to read and write in English Patients 18 years or older  Exclusion Criteria:  Patients who have been diagnosed with delirium or cognitive impairment. This will be defined by chart review along with review of the MD Anderson Symptom Inventory (MDAS) the day of clinic visit. An MDAS of 7 or greater will be considered to define delirium in this study Patients who are unwilling to sign informed consent Patients who have used audio recordings before in clinic visits Patients who have severe hearing impairments without access to assisted devices or programs to aid in listening to the recorded material