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Macmillan survey
1.
Age bracket
18-24
25-34
35-44
45-54
55-64
65+
Partial postcode:
2.
Have you (or family/friends) had any experience of cancer?
Yes
No
Macmillan support details below if needed.
Macmillan 0808 808 0000
QR code –
National support line
3.
If more support was available (e.g. from a local volunteer) – what would you like that support to look like?
4.
Were / are you aware of any info or support?
Yes
No
If not, where would you have liked it to have been / or be?
5.
Would you be interested in looking at being a volunteer?
Yes
No
If yes: Give contact name and number please:
6.
We will be having a community event to share back what we’ve heard and start to work with you to look at how Cancer Champions can best support people in communities. Would this be something [you] or [people you know] are interested in? If not, what would help you to attend?
Yes
No
If yes: Give contact name and number please:
7.
Anything else to add? Something we should know about or consider?
8.
Do you have any questions for us?