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19th Annual Cancer Conference Survey
1.
This is my...
First time attending BACC's Annual Cancer Conference
I'm a past attendee (please enter the number of years you have attended)
2.
I was diagnosed with...
Breast Cancer
Ovarian Cancer
Breast and Ovarian Cancer
N/A
Other (please specify)
3.
I am (a)... (Check all that apply)
At Risk or Have a Genetic Mutation
Newly Diagnosed
In-Treatment
Recurrence or Metastatic
Post-Treatment
Family/Caregiver/Friend
Medical Professional
Community Health Advocate
Other (please specify)
4.
Which of the following best describes your ethnicity?
African American
Arab
Asian
Black
Caribbean
Caucasian
Hispanic
Latino/Latina/Latinx
Native American
Multi-Race
Pacific Islander
Other (please specify)
5.
Please select your age:
18-29
30-39
40-49
50-59
60-69
70+
6.
How did you hear about this event?
BACC Email
BACC Flyer
BACC Program
BACC Website
Online Search
Social Media
Word of Mouth
Other (please specify)
