#BCANLEADER - What will you do? Survey

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* 1. Which best describes you? (check all that apply)

I have/had bladder cancer

Someone in my family has bladder cancer

I am a friend of someone with bladder cancer

I am a healthcare provider

Other (please specify)

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* 2. Please let us know which programs or services you have used, and what you might like to help us with:

	I have used this program or service	I would more information on how I can volunteer to help BCAN with this
Survivor 2 Survivor: Connects newly diagnosed patients with another survivor who has undergone similar treatment.	Survivor 2 Survivor: Connects newly diagnosed patients with another survivor who has undergone similar treatment. I have used this program or service	Survivor 2 Survivor: Connects newly diagnosed patients with another survivor who has undergone similar treatment. I would more information on how I can volunteer to help BCAN with this
BCAN Connection: Information and referral line staffed fully by BCAN volunteers	BCAN Connection: Information and referral line staffed fully by BCAN volunteers I have used this program or service	BCAN Connection: Information and referral line staffed fully by BCAN volunteers I would more information on how I can volunteer to help BCAN with this
AmpUp! Walk/Run to End Bladder Cancer awareness and fund raising events around the country	AmpUp! Walk/Run to End Bladder Cancer awareness and fund raising events around the country I have used this program or service	AmpUp! Walk/Run to End Bladder Cancer awareness and fund raising events around the country I would more information on how I can volunteer to help BCAN with this
Support Group: Offers support and education for those affected by a bladder cancer diagnosis	Support Group: Offers support and education for those affected by a bladder cancer diagnosis I have used this program or service	Support Group: Offers support and education for those affected by a bladder cancer diagnosis I would more information on how I can volunteer to help BCAN with this
BCAN Chapter: Gives visible representation within local communities across the country	BCAN Chapter: Gives visible representation within local communities across the country I have used this program or service	BCAN Chapter: Gives visible representation within local communities across the country I would more information on how I can volunteer to help BCAN with this

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* 3. What other BCAN resources have you used?

Bladder Cancer Basics for the Newly Diagnosed (Patient Booklet)

Fact Sheets: Tips from Patients to Patients

"The New Normal: Living with a Urinary Diversion" Videos

Patient Insight Webinars

Conversations Videos

Clinical Trials Dashboard

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* 4. I would like to receive further information on how to become involved with BCAN's programs.

Yes

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* 5. Please enter the following information to be contacted about becoming involved with BCAN's programs.

Name:

Phone number:

Email address:

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* 6. BCAN relies on its leaders to fulfill its mission of raising awareness and funds for the bladder cancer community to find a cure. What will you do to help BCAN further achieve this mission this coming year?

Please consider and complete the following statement:

As a 2017 #BCANLEADER, I will...

Question Title

* 1. Which best describes you? (check all that apply)

Question Title

* 2. Please let us know which programs or services you have used, and what you might like to help us with:

Question Title

* 3. What other BCAN resources have you used?

Question Title

* 4. I would like to receive further information on how to become involved with BCAN's programs.

Question Title

* 5. Please enter the following information to be contacted about becoming involved with BCAN's programs.

Question Title

* 6. BCAN relies on its leaders to fulfill its mission of raising awareness and funds for the bladder cancer community to find a cure. What will you do to help BCAN further achieve this mission this coming year?Please consider and complete the following statement: As a 2017 #BCANLEADER, I will...