 The overarching objective of this project is to develop a library of communication tools for the most common chemotherapy regimens used to treat metastatic colorectal cancer. Tools will include video clips and written documents that can be readily distributed, modified, and customized. This toolkit will be crafted in collaboration with oncologists and patients living with gastrointestinal cancer and improves upon existing resources in several ways: 1 balanced discussion of benefits as well as risks, 2 focus on regimens rather than drugs, 3 use of both written and video format, and 4 inclusion of the patient perspective e.g. video clips of patients describing their experience. A panel of oncologist and patient stakeholders will evaluate the acceptability of the tools. The investigators will then conduct a randomized clinical trial to demonstrate if the informed consent toolkit improves the quality of informed consent for palliative chemotherapy. If effective, the tools will be amenable to broad dissemination via patient accessible cancer education websites and oncology clinics. 