Investigators plan to establish an in-depth understanding of knowledge and beliefs about palliative care in advanced Bladder Cancer patients and their caregivers, and to identify factors associated with positive and negative experiences with palliative care services among those who have received them.

Inclusion Criteria:

• Eligibility for both patient and caregiver participants will include:
• age ≥18 years
• able to speak and read English
• cognitively able to participate in study tasks
• willing to participate in surveys, semi-structured interviews, and/or focus groups
• able to participate in either a Zoom meeting or phone interview
• able to complete an emailed or paper survey
• Patient Participants: a diagnosis of muscle-invasive or locally advanced bladder cancer (stages II-IV).

Exclusion Criteria:

• Patients and caregivers will be excluded if unable to provide verbal or written consent

Bladder Cancer patient participants and care givers will be recruited from the Moffitt Cancer Genitourinary Oncology clinic and the Supportive Care clinic.