Supporting Our Cancer Kids (S.O.C.K.)
P.O. Box 2282
Vacaville, CA 95696www.sockcancer.org
NEW FAMILY QUESTIONNAIRE
We would like to welcome you and your family to Supporting Our Cancer Kids (S.O.C.K.). It is our mission at S.O.C.K. to support children diagnosed with cancer and their families. The main purpose of this questionnaire is to gather the information we need to give you, and your family, the support that you need. Please answer all the questions as best as you can. The more information we have about your and your family, the better wen tailor our services to your needs. Your information may help S.O.C.K. receive funding through grants and other opportunities.
The questions on this form marked with an asterisk (*) are for the exclusive purpose of gathering statistics, often requested by grant makers and foundations. Your personal information will never be shared with any person or organization outside of the staff and board of Supporting Our Cancer Kids without your written consent.