Defining Musical Toxicity and Its Effect on Patient Well-being

Inclusion Criteria: * \* Adults ≥ 18 years or older * Active or accomplished musicians * Those performing in the community as part of a group or as a soloist * Those teaching lessons in an individual or group setting * Those for whom music teaching or performance is a primary source of income * Those who play music multiple times per week * Our ideal cohort will consist of an equal number of patients with the following malignancies above the diaphragm: * Brain * Head and Neck * Esophagus or Lung * Breast * Our ideal cohort will consist of an equal number of patients who engage in the following musical endeavors: * Stringed instruments * Wind instruments (including woodwind and brass instruments) * Keyboard instruments * Vocalists Exclusion Criteria: * \* \< 18 years * Did not regularly attempt to engage in musical endeavors during or after cancer treatment * Not willing or able to complete the questionnaire or engage in a one-hour interview (i.e. limited English proficiency)