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Share Your Story!
Thank you for being a part of Cancer Support Community Central Ohio.
Would you like to share your experience with us? Being able to highlight participant and volunteer impact stories makes us better at providing what our community needs, helps us reach more people, and allows us to raise funds to support our programs. Please fill out the following questions with as much detail as you feel comfortable sharing, tap into your inner storyteller! If there are any additional details you'd like to share that we haven't asked about, please include that as well.
First name
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Last name
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Gender
Age
Please Select
16-24
25-40
40-55
55-70
70+
Ethnicity
Please Select
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Other
Email
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How did you learn about Cancer Support Community? How did you first get involved?
What made you decide to join Cancer Support Community? Did you have reservations before attending?
When did you get diagnosed and with what type of cancer? If you are a loved one or caregiver, what was your journey like during diagnosis time of your loved one?
Which of our programs do you participate in? For how long? How have they benefited you?
What does Cancer Support Community mean to you?
If you have given back, whether that be through volunteering or donating, what motivates you to do so?
What advice would you give to someone who is wondering if Cancer Support Community is right for them?
Please share any other notes or thoughts you have about your time and experience with Cancer Support Community.
Please attach any photos you would feel comfortable sharing!
Do you give consent to share your story through grant reporting, social media, website, or giving campaigns?
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Yes
No
Can we contact you for follow-up (if needed)?
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Yes
No
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