We are very sorry to hear of the diagnosis of your loved one. We'd like to hear your story; your experience and that of your loved one who bravely fought or is in the process of fight the cancer .
As a cancer researcher and long term brain cancer (GBM) survivor, I'd like to learn more than just how you he/she was or is being treated by the health care team but also what he/she did in the time since diagnosis and share with others.
Please fill out the form below and a formatted document will follow by email for your records, or to provide to your health care team.
Personal information will not be shared. One aim as a cancer scientist, is to do a statistical analysis of various groups of data which will be shared here and/or through email. Your information is crucial. Another goal is to inform the brain cancer community on what people are doing in various dimensions to tackle this experience. If you choose to receive updates on this and/or new discoveries and treatments, leave "Do you wish to stay in touch?" select below.
As a cancer researcher and long term brain cancer (GBM) survivor, I'd like to learn more than just how you he/she was or is being treated by the health care team but also what he/she did in the time since diagnosis and share with others.
Please fill out the form below and a formatted document will follow by email for your records, or to provide to your health care team.
Personal information will not be shared. One aim as a cancer scientist, is to do a statistical analysis of various groups of data which will be shared here and/or through email. Your information is crucial. Another goal is to inform the brain cancer community on what people are doing in various dimensions to tackle this experience. If you choose to receive updates on this and/or new discoveries and treatments, leave "Do you wish to stay in touch?" select below.
Note: There's a limited number of required fields indicated by a red star beside field name. Some field names have question mark--hover over for more information or instructions.To your level of comfort, please feel free to fill out other boxes which helps us learn more about your experience and treatment that was given.
Thank you.
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My sincere condolences for your loss. May the memories of your blessed loved one give you strength. A candle loses nothing |