Think Pink Survey 2019
Please give us a few minutes of your time to provide valuable feedback that will help us make decisions about future breast cancer awareness efforts. To thank you for your time, we'll enter your name into a drawing for a prize donated by local businesses. Please respond by November 15th to be entered into the drawing!
Is this your first "Think Pink" bag?
If this is NOT your first bag, how many years have you received a bag?
How old are you?
Prefer not to say
What would you like to see in the 40,000 "Think Pink" bags to be distributed next year?
How often do you perform a breast self-exam?
IF NOT MONTHLY, why not?
Don't know how
As a result of information received in the "Think Pink" bag, did you detect breast cancer?
If you did detect breast cancer, what was the date of your diagnosis?
If you are 40 years or older, did you receive a mammogram last year?
Under 40 years old
IF NO, why? (check all that apply)
How did you receive your "Think Pink" bag?
From a handout location
Employer Reserved Bags
Received from friend/family
In which county do you reside?
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