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Support Someone with Cancer
What do I say? What do I do?
To participate in the development of this book, please complete the following questionnaire. [ jump down to questionnaire ]
 

Why this book?

A few years before I was diagnosed with cancer, I had a friend in another city who was diagnosed with a brain tumor. I didn't know what to do, so I just sent a card. When I was diagnosed, she taught me a huge lesson in how to be there for someone. I don't want anyone to feel the pain of regret for not doing more, nor do I want anyone dealing with cancer to feel abandoned and alone. That is the reason for this book.
 
 
 

Also, while I was having treatment, many people gave me unique gifts and provided a variety of services that were specific to who I am. These lifted my spirits and helped me heal. This made a big difference for me. So, what did people do or say that really made a difference for you? And what did people do or say that you felt were the wrong things? Your answers will make up this book and will provide important information to the family, friends and co-workers of people with cancer.
 

Thank you! — Nancy Brown
 
FIRST, some personal data, please. If you prefer not to answer any question, that's OK. If you do respond, please know that this is the only personal identifying information we will use in the book unless you give permission to use your name.

Age:
Gender:Male   Female
State/Province of Residence:
Country:
Diagnosis:
Date of 1st diagnosis:
What were the treatment
options that you chose?
Are you still having follow-up checkups?Yes   No
Have you had any recurrence or
subsequent diagnosis of cancer?		Yes   No
If yes, diagnosis:
Date of diagnosis:
How do you feel about your health now?

NOW, please describe what others said or did that was or was not helpful for you. We will examine this at various stages of your cancer experience. Please include any unique ideas that made you feel special, that showed people were focused on who you really are, or that just tickled your sense of humor - anything that those around you did that might inspire others. For example, one person I know was given a "chemo shower" by her friends. And, if there is something that we have not asked that you would like to share, please write it in the "Comments" section at the end of the questionnaire. Thanks again!
 
  1. Initial Diagnosis
    2. Said/done that was helpful:
    Said/done that was not helpful:
  2. Treatment Decision Making Process
    3. Said/done that was helpful:
    Said/done that was not helpful:
  3. During Treatment
    4. Said/done that was helpful:
    Said/done that was not helpful:
  4. Immediately Post Treatment
    5. Said/done that was helpful:
    Said/done that was not helpful:
  5. Now
    6. Say/do that is helpful:
    Say/do that is not helpful:

If you have additional thoughts - and especially stories - that you would like to share, please provide them in the space below. For example, did a group of friends and/or family members join together to help do your summer gardening, coordinate errand running, give an uplifting party, or provide any other gift or service that was particularly memorable that you'd like others to know about?
 
To receive updates on the progress of the book, please enter your name and email address below. And check the boxes to let us know if we can use your name and/or contact you for further information. THANKS!
 
NAME:
EMAIL:
Yes, you have permission to use my name in the book
     

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Copyright © 2004-2006 Nancy Brown
PO Box 1511, Albany, OR 97321
Phone: 541-979-4785
Email to: Nancy@SupportSomeoneWithCancer.com

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