Inability to speak or read English or Spanish Patients must be able to speak and read English or Spanish Patients must be able to read, speak and understand English or Spanish Inability to accurately answer questions (e.g. dementia, brain metastases) or speak English or Spanish Patient and parent/caregiver must speak English or Spanish The parent will need to speak English, Spanish, or Arabic Cannot speak English or Spanish Parents who dont speak English or Spanish Speak English or Spanish Able to speak English or Spanish (questionnaires will be in English and Spanish) Able to speak and read in English or Spanish Not able to speak and read in English or Spanish Participants must speak Spanish or English Speak English or Spanish CAREGIVER: Speak English or Spanish Participants that do not read speak or understand either Spanish or English Inability to speak either English or Spanish Who do not speak English or Spanish Patients who speak English or Spanish Patients who speak English or Spanish Participants must be able to provide informed consent and speak either English or Spanish as a primary language Patients who speak English or Spanish Patients who speak English and/or Spanish Being able to speak English and/or Spanish Patients who speak English or Spanish Patients who do not speak English or Spanish Phase I: Are able to understand, read, and speak Spanish Phase II: Are able to understand, read, and speak Spanish Patients who speak English or Spanish Able to speak and read English and Spanish Speak English or Spanish Speak either English or Spanish Speak English or Spanish Able to speak and read English or Spanish OR Inability to speak English or Spanish. USABILITY PHASE: Speak English or Spanish