Cancer Survivor 2-Minute Survey

Hi.  I'm Michael Lepage, a cancer survivor like you.  I want to say thank you for taking a few minutes to help with some research.  Please complete the survey below, answering as best you can.

What is your gender?: *

Male

Female

How old are you?: * select...Under 1818-2324-2930-35Over 35

When were you first diagnosed with cancer? (yyyy/mm): *

What type of cancer were you diagnosed with?: *

Are you still in treatment?: * select...YesNo

Did you pursue any alternative therapies to heal from cancer?: *

I pursued ONLY alternative therapies

I pursued ONLY standard medical treatments (chemo, radiation, etc.)

I tried a bit of both, but mostly standard medical treatments

I tried a bit of both, but mostly alternative therapies

I've used both equally

I have not pursued any therapies or treatments

How concerned are you of a relapse?: *

Very concerned

Somewhat concerned

Hadn't thought about it

Not concerned at all

Cancer and Relationships

For the most part, have the following relationships improved, deteriorated or remained unchanged as a result of your illness?

Immediate Family: *

Improved

Deteriorated

No Change

Romantic partner or Spouse: *

Improved

Deteriorated

No Change

Friends: *

Improved

Deteriorated

No Change

Colleagues or Business Partners: *

Improved

Deteriorated

No Change

Did you lose any relationships as a result of your illness? (ie: no longer speaking or the relationship faded away): * select...YesNo

Did you gain any new relationships as a result of your illness?: * select...YesNo

Cancer and Career

What your current career status? (check all that apply): *

working full-time

working part-time

student

looking for work

not working, not looking

If you are currently working, how have your work/career goals changed as a result of your illness?: *

I feel more ambitious and am working harder

I want to change careers

I want to have my own business

I'm happy where I am

Not at all

Cancer and Money

What has been the financial impact of having cancer?: *

I'm in big-time debt because of my illness

I was already in big-time debt and getting sick didn't help

I'm not in debt, but I'm not raking in the dough either

I'm doing ok

I'm doing better than ever

Helping

To what degree has having cancer inspired you to help others?: *

I have a great desire to help

I really want to help but haven't found the right opportunity

I want to help, but I'm too busy

I think I want to help, but ....

I'm not really interested

If you have a great desire to help others, how would you like to help? Please elaborate.:

Cancer & Spirituality

Has having cancer changed your beliefs around spirituality?: *

Yes

No

If you answered Yes, can you briefly describe how?:

(Optional) Please provide your email address - (PURELY used to send you a Thank You for completing the survey):

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