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Moms With Cancer Discovery Survey
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Email
*
Your email
What is your cancer status?
Recently diagnosed
Receiving treatment
Post-treatment
No evidence of disease
Clear selection
How many children do you have?
0 or expecting
1
2
3
4
5+
Clear selection
What are your children's ages?
Your answer
Do you find it difficult to update friends and family on your cancer journey?
Yes
No
Sometimes
Clear selection
How do you currently contact the people you care about when you have health updates?
Individual texts and calls
Facebook
Personal blog
Tend not to update others
Other:
Clear selection
What are your preferred ways of receiving help?
Door Dash
Cash
Baby sitting
Maid Service
Meal train
Other:
Are there any organizations you’ve leaned on during your cancer fight?
Your answer
We’re excited to grow our community! Drop your instagram handle below
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