We’d love to know a bit about you

NAME

WHAT ARE YOUR PRONOUNS?

He/HimShe/herThey/Them

HOW DID YOU FIND OUT ABOUT US?

Social mediaWebsite searchAnother young adult living with cancer told me Friends/familyHealthcare professional told me Another charity signposted me to TrekstockYoung Lives vs Cancer Teenage Cancer Trust Ellen MacArthur TrustMacmillan

ANY OTHER CHARITY/NAME OF HEALTHCARE PROFESSIONAL

WHAT TYPE OF CANCER WERE YOU DIAGNOSED WITH?

brain tumourbreast colorectalbowelcervicalskin cancer thyroid testicular neuroendocrinesarcomabone cancer leukaemialymphomaother types of blood cancer womb kidney cancer

IF NOT LISTED PLEASE STATE TYPE OF CANCER

WHAT’S YOUR AGE

18-2020-2425-2930 -3435-40

WHAT’S YOUR CURRENT TREATMENT STAGE

Just diagnosedIn treatment 6 months or less since finishing active treatment6 -12 months post active treatment 12-18 months post active treatment 2 years +I was diagnosed in childhood or as a teenagerIncurable yet treatable (long term treatment)Watch and Wait

WHERE DO YOU LIVE?

LondonSouth EastEast MidlandsYorkshire & HumberScotlandIrelandNorthern IrelandSouth West North West East of EnglandWest MidlandsNorth East Wales

WHAT IS YOUR ETHNICITY

English / Welsh / Scottish / Northern Irish / BritishIrishGypsy or Irish TravellerAny other White backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed / Multiple ethnic backgroundLatin AmericanIndianPakistaniBangladeshiChineseAny other Asian backgroundAfricanCaribbeanAny other Black / African / Caribbean backgroundArabOther

PLEASE STATE IF NOT LISTED

HOW WOULD YOU LIKE TO HEAR FROM US (required)Please tick a checkbox

EmailThrough our regional whatsapp groupNewsletterShare your story

PLEASE ENTER YOUR EMAIL Please enter a valid email address

If you’d like to be added to your regional WhatsApp group, let us know your mobile number?

WHAT AREAS WOULD YOU LIKE SUPPORT?

Meeting other young adults with cancerPsychological wellbeingNutritionPhysical Activity (exercise)FinancesWork issuesGetting back into work Sex and relationshipsCoping with menopauseLGBTQI+ and cancerMeeting other men with cancerFriendships and cancerThinking about fertilityLiving well with incurable cancerCancer and being from BAMER communityParenting with cancer

If you ticked psychological support we’d love to know what you mean by this

Just meeting others who understand Formal support ie. counselling or time with a psychologist I struggle with anxiety and want help coping with this I struggle with the fear of recurrence I am struggling with feelings of being alone I want to know ways to help improve my mental health

If you want support around getting active - https://www.trekstock.com/intreatmentorfinishedexerciseprogramme

Check out our resources on the subjects that matter to you: https://www.trekstock.com/Pages/Category/practical-information-for-young-adults

If want support with what to eat - https://www.trekstock.com/foodandcancer

WE KNOW YOU ARE SO MUCH MORE THAN YOUR CANCER SO TELL US WHAT MAKES YOU TICK?

ExerciseFoodFashionBooks and filmsWalkingWater sportsCookingNights out with friendsAnything else

TELL US MORE

Let us know any ideas on events you would like us to offer

This data will be used for internal monitoring & will occasionally be anonymised & used for promotion. All data will be treated as strictly confidential & subject to the provisions of the Data Protection Act 1998. Please indicate if you’re happy for your

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