John Wayne Cancer Foundation

If you are a man fighting cancer (diagnosis, treatment, post-treatment), please answer these questions.

Help us shape new programs for the John Wayne Cancer Foundation by answering some or all of the questions below. When you are finished, please click the Submit button. If you choose to provide your name or email address, we may contact you to gauge your interest in participating in a focus group. Otherwise, your answers will remain anonymous.

* Required Fields

First Name:
Last Name:
Age:
Type of Cancer:
Date of Diagnosis:
Email:

* 1. How has cancer affected your professional life or career?

* 2. How has cancer affected your personal relationships?

* 3. If you could have told your friends/family how to interact with you during your cancer experience, what would you have said to them?

* 4. Do you think it's more difficult for men with cancer to get support and/or reach out? If so, why?

* 5. During your cancer experience, did you have another survivor to talk to? If so, how was it helpful?

* 6. Was there a source of wisdom or support (a person, a book, your faith, a website, a journal, etc.) that you called upon during your cancer experience? If so, what?

* 7. Besides your doctor, where did you get information about your type of cancer?

* 8. Do you feel like you had enough information?

* 9. How did you talk to your children about cancer (if applicable)?

* 10. What is the main emotional issue you have dealt with during your cancer experience?

* 11. What do you wish someone had told you at the outset of your cancer experience to prepare you for what you went through?

* 12. If you could invent one valuable resource for men fighting cancer, what would it be?

I'm interested in participating in future JWCF focus groups about men fighting cancer.

All battles are fought by scared men who'd rather be some place else. - John Wayne