Patient must have English as their primary language and a training aide who speaks English available to participate in required sessions Proficiency in English language is required Patients for whom English is not their native language Patients must be able to read and comprehend English language text and be able to understand spoken English over the phone Subjects unable to speak and read the English language The patient is fully able to understand the English language so as to read and answer the study questionnaires Participant has adequate understanding of the English language English language proficient English language proficient Primary language is English People unable to read and understand the informed consent document because of language difficulties INCLUSION CRITERIA FOR PARENTS: Able to speak and read English language EXCLUSION CRITERIA FOR PARENTS: Patient is unable to speak and read English language Has English as the primary language DCG: Has English as his/her primary language Subjects must be able to read and comprehend the English language SUBJECT: Ability to read and understand the English language. English as primary language Subject has adequate understanding of the English language because not all GA measures have been validated in other languages Patient able to speak and read English language Patient unable to speak and read English language Participant is able to speak and understand the English language Patients: Able to read and speak the English language Caregivers: Be able to read and speak the English language Patients who speak English (due to patient-reported outcome language options, we are only accruing English-speaking patients to the protocol) Participant is able to speak and understand the English language People unable to read and understand the informed consent document because of language difficulties Subjects unable to speak and read the English language In the judgment of the consenting professional, fluent and able to communicate well enough in English to complete the study assessments and provide informed consent\r\n* Patients who report that English is not their primary language will be asked the United States (US) Census English proficiency question “How well do you speak English” and the answer “very well” will be required Able to perform clinical language testing in English Does not speak English as a primary language (as determined by the principal investigator [P.I.] or treating physician after discussion with a potential subject and his/her family)