Greetings. In order for the Concord Breast Cancer Survivor's Support Group Ministry to best serve your needs this year, please take a moment to complete the following survey:

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* 1. What is your first and last name?

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* 2. Please tell me the month and year you were diagnosed with breast cancer?

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* 3. What type of breast cancer do/did you have?

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* 4. What type of treatment plan did you receive?

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* 5. Please check how you'd like to be involved in the breast cancer survivor's ministry offered at Concord Church?

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* 6. Are you interested in attending a fellowship for Concord breast cancer survivors? 

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* 7. If you answered yes to question #5, please indicate how often you'd like our fellowship to be held?

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* 8. Please share any additional comments or concerns to help improve this ministry. Your feedback is appreciated.

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* 9. Thank you for completing this survey!

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