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Task Force Questionnaire
Campferences will be virtual in Summer 2021 and we need your help to make it awesome!
This questionnaire is anonymous and will help our team start thinking about what's important to you. Thanks for helping us be there for you!
* Indicates required question
Please Indicate Your Community
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Face2Face (our cancer community)
FaceForward (our rare genetic community)
One Love (our HIV community)
Required
What devices do you have available to join Virtual Campferences? (Check all that apply)
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Smart-Phone
Tablet
Computer with Webcam or Camera
Required
Do you have a safe, quiet place with a door that you could be in to attend a Virtual Campference?
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Yes
No
Other:
Knowing that Next Step will find a way to explore all of these topics, which one is most important to you at this point of your life?
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Managing Your Health
School/Education
Employment
Mental Health
Medical Advocacy
Building Relationships
What information do you wish you had regarding MANAGING YOUR HEALTH? (Ex: how to build a medical resume)
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Your answer
What information do you wish you had regarding SCHOOL AND/OR EDUCATION? (Ex: Asking for accommodations, financial aide, etc.)
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Your answer
What information do you wish you had regarding MEDICAL ADVOCACY? (Ex: Learning how to voice issues with your providers or care team)
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Your answer
What information do you wish you had regarding MENTAL HEALTH? (Ex: Recognizing stress, developing healthy coping skills, etc.)
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Your answer
What information do you wish you had regarding COVID 19 and CHRONIC ILLNESS? (Ex: Questions about vaccines)
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Your answer
What information do you wish you had regarding BUILDING RELATIONSHIPS? (Ex: maintain friendships virtually)
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Your answer
What's one thing you've learned this year that you're excited to share with your community?
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Your answer
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