John Wayne Cancer Foundation

If you're a man with a relative or friend fighting cancer, 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 your experience with your relative/friend's cancer affected your professional life or career?

* 2. How has your experience with your relative/friend's cancer affected your personal relationships?

* 3. If you could have told your relative/friend how to interact with you during this experience, what would you have said to them?

* 4. Do you think it is more difficult for men to get support and/or ask for help during this type of experience? If so, why?

* 5. During your experience with your relative/friend's cancer, did you have someone with a similar experience 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 experience as a relative/friend/caregiver? If so, what?

* 7. Besides doctors, where did you get information about your relative/friend/caregiver's cancer?

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

* 9. How did you talk to your children about cancer or about being a relative/friend to someone with cancer?

* 10. What is the main emotional issue you have dealt with during your relative/friend's experience with cancer?

* 11. What do you wish someone had told you at the outset of your experience as a relative/friend/caregiver of someone with cancer to prepare you for what you went through?

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