Exercise, Massage, Activities of Daily Living Issues

Please add your comments. We respect your privacy.

1. Is the module Exercise, Massage, Activities of Daily Living Issues
Very Helpful and Supportive  Helpful and Supportive
Somewhat Helpful and Supportive  Not Helpful or Supportive

 2. Sex
Male   Female
3. What country are you from?
 4. Are you?
Medical Professional  Patient
Supporter  Other
5. What cancer are you touched by?
 6. Diagnosis and Disease Progression
Newly Diagnosed Non Metastatic
Recurrence Metastatic  Other

7. Do you have suggestions about the module Exercise, Massage, Activities of Daily Living Issues

Are you interested in our newsletter? May we contact you in the future? If so please enter your name and email address

Name:   
Email:  

When you are done filling out the questionnaire, click on the
"SUBMIT ANSWERS" button to send your answers!
Supportive Cancer Care
by Ernest H. Rosenbaum, MD & Isadora R. Rosenbaum, MA
Cancer Supportive Care Website Module s  |  Home  |  Search Our Website   |  Site Map  |  Contact Us  |  Top
Cancer Supportive Care Website  |  Phone : 510-649-8177  |  Fax: 510-649-8276