My Bladder Cancer Story Survey

Thank you for sharing your bladder cancer story.

The My Bladder Cancer Story Campaign features personal stories from those affected by bladder cancer, including patients, survivors, caregivers and loved ones of those who have passed away from bladder cancer. By submitting your information to the My Bladder Cancer Story campaign you give permission to have your story featured across multiple BCAN platforms including social media, newsletters, marketing materials, BCAN.org and more. We will always consult you before using any of your personal information.

1.What is your gender?

Male

Female

2.What is your relationship to bladder cancer?

I have/had bladder cancer (patient)

I am a family or friend of a loved one who is a bladder cancer patient (caregiver)

I lost someone to bladder cancer

3.How old were you/your loved at the time of the bladder cancer diagnosis?

4.What year did you begin your bladder cancer journey?

5.What information would you like to share about your diagnosis?

6.Tell us about your experience with your bladder cancer treatment.

7.What role, if any, has BCAN played in your bladder cancer story?

8.Do you have any suggestions or advice for newly diagnosed bladder cancer patients?

9.Please provide the following so we may contact you for additional details and a photo when we use your story:

Name as you would like it to be linked to your story:

Email address:

Phone number:

Thank you for sharing. We will contact you for photos and potentially set up an interview.