Colorado Cancer Coalition Survivor/Caregiver Interest Survey
Thank you for your interest in joining the Colorado Cancer Coalition. Please take a few minutes to let us know of your interests. In general, the Colorado Cancer Coalition wants to ensure everything we do is with the patient and caregiver in mind, so this is where you come in. We need your guidance and feedback as we develop programs and events to ensure they are meeting your needs.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number
Your answer
Are you a survivor or caregiver?
What do you hope to get out of your participation with the Colorado Cancer Coalition?
Your answer
What is your biggest need as a survivor/caregiver right now?
Your answer
What are some skills that you are interested in providing to the Coalition? (Examples: writing, editing, speaking, fundraising, etc..)
Your answer
In what ways would you like to participate?
Would you like to join a Task Force? Task Forces meet monthly or every other month. More info can be found here: https://www.coloradocancercoalition.org/task-forces/
Is there anything you would like to learn more about? Check all that apply.
What format for educational opportunities is best for you? Check all that apply.
Is there anything else you would like to share with us?
Your answer
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