• PATIENT: Documented informed consent of the participant and/or legally authorized representative
* Assent, when appropriate, will be obtained per institutional guidelines
* PATIENT: Age: ≥ 18 years
* PATIENT: Eastern Cooperative Oncology Group (ECOG) ≤ 2
* PATIENT: Ability to read and understand English or Spanish for questionnaires
* PATIENT: Subjects must have histologically or cytologically confirmed diagnosis of metastatic pancreatic adenocarcinoma who are within 8 weeks of initial diagnosis
* FAMILY CARE GIVER: Documented informed consent of the participant and/or legally authorized representative
* Assent, when appropriate, will be obtained per institutional guidelines
* FAMILY CARE GIVER: Age: ≥ 18 years
* FAMILY CARE GIVER: Ability to read and understand English or Spanish for questionnaires
* FAMILY CARE GIVER: A family member or friend identified by the patient and defined as a person who knows the patient well and is involved in the patient's medical care
You may not be if
• An employee who is under the direct/ indirect supervision of the principal investigator (PI)/ a co-investigator/ the study manager