Thank you for sharing your insights as part of our Global Colon Cancer Survivor Day forum.
Your experiences are important, and will help us improve programming & education efforts for all those affected by this disease. 
For purposes of this survey - survivorship is determined as a patient living with, through and beyond cancer. 
All responses are completely anonymous.
Questions:  Please contact Martha Raymond, Founder/CEO at The Raymond Foundation 
www.TheRaymondFoundation.org         mraymond@theraymondfoundation.org

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* 1. How would you rate your overall quality-of-life/quality-of-survival at the current time? 
(1 - 5, with 5 indicating the highest quality)

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* 2. Are there any gaps or unmet needs in your survivorship care (physical, emotional, & psycho-social)?

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* 3. What types of support services have you found most helpful?

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* 4. Have your family relationships been affected by your cancer diagnosis (spouse/significant other, siblings, children, parents)?

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* 5. Have your social or business relationships been affected by your cancer diagnosis (friends, co-workers, supervisors)?

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* 6. If you could change any aspect of your survivorship experience to make it better, what would you change?

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* 7. What advice would you give a newly diagnosed patient based on your experiences?

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* 10. What is your gender?

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* 11. What is your ethnicity? (Please select all that apply.)

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* 12. In which region of the United States do you live?

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