Bag It Bag Feedback Form 2019
YOUR FEEDBACK IS IMPORTANT to help BAG IT continue to inform and empower those impacted by cancer. Your responses to this survey will be used to help us understand the value of the BAG IT bag.

Bag It will not share your contact information with any organization.

I am the:
The contents of the BAG IT bag/guidebook helped me/my caregiver be more organized.
Please explain your answer:
Your answer
The contents of the BAG IT bag/guidebook helped me/caregiver become more knowledgeable about advocating for myself? cancer survivorship?. (become more confident/comfortable in being part of my healthcare team? Speaking up for myself? Asking questions? Quality of life?
Please explain your answer:
Your answer
The contents of the BAG IT bag/guidebook helped me/caregiver cope better/worry less.
Please explain your answer:
Your answer
If you could add/change one thing in the bag what would it be?
Your answer
Please mark the number that shows how helpful each publication has been for you/caregiver:
Caring for the Caregiver
Heal Well
Paths to Survivorship
Taking Time
1 -not at all helpful
2
3
4
5 - extremely helpful
I do not remember this publication
Comments or anything you would like to share:
Your answer
You may use my comments
May we contact you for follow-up information?
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City
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Zip Code
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