Breast Cancer Support Questionnaire

Did you receive the kind of support you needed while going through breast cancer? If not, please explain what would have been helpful.

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How important was friendship and support to you when you were going through your breast cancer experience?

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What were some of things people did for you to help support you physically, emotionally, socially, spiritually?

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What was the hardest part of going through breast cancer, diagnosis, surgery, treatment, side effects? How did you combat these things?

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We would love to use some of these comments on our website or other written materials so others will understand how important support and friendship is to a woman healing during their breast cancer experience.

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Please print your name_____________________________________________________________________________________________

Address__________________________________________________________________________________________________________

Tel Number_______________________________________________________________________________________________________

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If you would like to answer our questions to help others please Fax this to 503-624-4824 or

Email Us: mail@breastfriends.com

Breast Friends

Breast Cancer Support Questionnaire