Inclusion Criteria:  a Cohort A:  Breast cancer patients with a baseline (preoperative perometer measurements) who have undergone axillary lymph node dissection English speaker Patients who participate in Cohort A will be eligible for enrollment in Cohort  b Cohort I:  Breast cancer patients who have undergone axillary lymph node dissection who have a clinic visit in the Nellie B. Connally Breast Center approximately 12 months (+/- 4 months) following axillary lymph node dissection English speaker  c Cohort II:  Breast cancer patients who have undergone axillary lymph node dissection who are having a follow-up visit in the Nellie B. Connally Breast Center within 0-6 months following surgery who intend to continue follow-up care at MD Anderson English speaker  Exclusion Criteria:  Inability to complete a self-administered questionnaire