Metuchen YMCA Cancer Survivor Survey

The Lance Armstrong Foundation has collaborated with The Metuchen Edison Woodbridge YMCA to develop physical activity and wellness programs for cancer survivors and their families. We have begun work on this collaborative process and we need your help.

Was a physical activity program recommended to you as a result of your diagnosis, or upon completing treatment? Yes No Are you involved in any programs designed for cancer survivors? Yes No If yes, please explain. Dare to dream! What type of program, activity, club, or event could the YMCA offer to best meet your needs as a cancer survivor? What more could we do to make you feel welcome and supported as a cancer survivor at the YMCA? We would like to contact you. Would you like to provide your contact information? All information will be kept confidential. Name   Phone   Email   Age? 18-24 25-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99 100+ Type of cancer? If you are a member of the YMCA, how long have you been a member? 30 days or less 31-60 days 61-90 days 3-6 months 6-12 months 1-2 years 3-5 years 6-10 years 11-20 years 21 years or more