244 Background: Support services offer a multi-disciplinary approach to improve quality of life (QOL) in head and neck cancer (HNC) survivors. This study assessed support services of HNC survivors treated at a University-based cancer center. Methods: HNC survivors (N=115) who completed three-month post-treatment self-report questionnaires were recruited from three radiation oncology clinics. Questionnaires assessed emotional and physical symptoms, QOL, and use and interest in support services. Symptoms were assessed individually on a 5-point Likert scale. Utilization and interest of support services were assessed with yes/no scales while helpfulness of utilization was assessed on a 5-point Likert scale. Spearman correlation analyses were conducted in SPSS v22. Results: Participants’ were mostly male (77%) and Caucasian (79%), with a mean age of 58.71 years (SD=11.05), and 36% had stage III/IV cancer. The majority of participants (93.7%) agreed they received adequate support, yet, interest in classes/education (7.8%), integrative medicine (7.0%) and support groups (6.1%) were endorsed. Surprisingly, interest in these support services was associated with lower ratings of total symptoms: classes/education (r = -.48), integrative medicine (r = -.41) and support groups (r = -.55). More than half of participants utilized at least one support service (67.83%) with the most frequent including: nutritionist/dietitian (55.7%), social worker/navigator (21.0%) and cancer information line (15.7%). Utilization of some services was associated with lower ratings of individual symptoms: social worker/navigator and problems swallowing (r = -.31), fatigue (r = -.27) and pain (r = -.24); and cancer information line and weight loss (r = -.30). Meanwhile, overall helpfulness of support services (M = 2.37, SD = 1.51) was rated between “somewhat” and “quite a bit” helpful. Conclusions: This study suggests a relationship between utilization and interest in support services and symptom ratings. Notably, those who report more physical and emotional symptoms may be less likely to report interest in support services. This may be due to an inability to access support services because of lack of transportation, poor social living conditions, etc.