Comprehensive Score for Financial Toxicity – Functional Assessment of Chronic Illness Therapy (COST-FACIT)

Validated questionnaire designed to measure financial distress experienced by patients with chronic illnesses, especially those undergoing cancer treatment.

Record responses and associated points.
(multiple choice selection, response to each question is NOT required for final score)

I know that I have enough money in savings, retirement, or assets to cover the costs of my treatment.

Not at all

A little bit

Somewhat

Quite a bit

Very much

My out-of-pocket medical expenses are more than I thought they would be.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I worry about the financial problems I will have in the future as a result of my illness or treatment.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I feel I have no choice about the amount of money I spend on care.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I am frustrated that I cannot work or contribute as much as I usually do.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I am satisfied with my current financial situation.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I am able to meet my monthly expenses.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I feel financially stressed.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I am concerned about keeping my job and income, including paid work at home.

Not at all

A little bit

Somewhat

Quite a bit

Very much

My cancer or treatment has reduced my satisfaction with my present financial situation.

Not at all

A little bit

Somewhat

Quite a bit

Very much

I feel in control of my financial situation.

Not at all

A little bit

Somewhat

Quite a bit

Very much

My illness has been a financial hardship to my family and me.

Not at all A little bit Somewhat Quite a bit Very much

Interpretation

Sources:

de Souza JA, Yap BJ, Wroblewski K, Blinder V, Araújo FS, Hlubocky FJ, Nicholas LH, O'Connor JM, Brockstein B, Ratain MJ, Daugherty CK, Cella D. Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST). Cancer. 2017 Feb 1;123(3):476-484. doi: 10.1002/cncr.30369. Epub 2016 Oct 7. PMID: 27716900; PMCID: PMC5298039
Pangestu, S., Purba, F.D., Setyowibowo, H. et al. Validity, test-retest reliability, and responsiveness of the Indonesian version of FACIT-COST measure for subjective financial toxicity. Health Qual Life Outcomes 22, 89 (2024). https://doi.org/10.1186/s12955-024-02303-5.

Comprehensive Score for Financial Toxicity – Functional Assessment of Chronic Illness Therapy (COST-FACIT)

Record responses and associated points. (multiple choice selection, response to each question is NOT required for final score)

Interpretation

Record responses and associated points.
(multiple choice selection, response to each question is NOT required for final score)