Two half-day clinics are held each week. The majority of patients seen are those with lung or gastrointestinal cancers referred by their treating oncologists, but increasing numbers of patients are being seen who have other malignancies. There is no pre-determined standard term of enrollment for the CNR program at JGH, and follow-up visits are scheduled according to individual patient needs. Prior to their first visit, each patient has a structured interview with the intake nurse and any problems identified as urgent are communicated to the relevant team professional. Patients are asked to self-report on their level and sources of distress using a standard assessment tool, as well as to complete two symptom questionnaires, one for physical and psychological symptoms and the other on nutritional status.