MCF Support Group Awards
Name of support group or project *
Number of members or regular attendees *
Website (if applicable)
Date the group or project was established *
Type of organisation *
How often does your support group meet? *
Charity number (if applicable)
Name of the support group leader *
Job title (if applicable)
Address *
Telephone number *
Email address *
*
Required
How do patients get involved in your support group?
Are they referred by hospitals or local dentists? Is your support group advertised online anywhere? Do you offer support for relatives and carers or health professionals as well as patients? How do you encourage participation of members in the group to be involved in running projects?
Describe your group's activities and services.
Please give a summary of the head and neck cancer support group, as well as projects with examples of the work carried out and the activities undertaken. The Mouth Cancer Foundation would like to know what you feel is special, unique or innovative about your project and why it is a good candidate for these awards.
If your support group was awarded a grant, how would the money be utilised?
What activities, services, projects or initiatives would your Support Group carry out and how would these positively impact your participants quality of life?
Please ask a participant from your Support Group to provide a short statement on how your group has positively impacted them.
This can be from a patient, medical professional, family member or anyone who has used and benefited from your Support Group’s services.
How did you hear about the Mouth Cancer Foundation Support Group Awards?
Clear selection
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy