Health Disparities Town Hall Focus Group Questionnaire

We are asking the detailed demographic questions below to ensure that we convene a diverse group that is representative of the full spectrum of the AYA community. All of your information will be kept confidential and will only be used for the purposes of building out the focus group. Stupid Cancer never shares personal information with partners or funders.We appreciate your interest in participating in this program, but please note, we will only be able to select a limited number of AYA patients/survivors to participate in the focus group. All community members are invited and welcome to attend the Town Hall.

Time Commitment
Participants agree to commit approximately 5 hours of their time, over the next four (4) months, to the Health Disparities Town Hall. This will include a brief “intake” call with Stupid Cancer staff, a 90-minute focus group on November 1, 2021, at 2:00 – 3:30 pm ET, the 90-minute Town Hall in early December, and a second 90-minute focus group to be scheduled in January 2022. All sessions will be held virtually via Zoom. Stupid Cancer will also provide a platform for you to connect with other focus group participants outside of the designated program sessions.

Compensation
Focus group participants will receive a $150 stipend and a Stupid Cancer swag bag.

If you have any questions about participation in the Town Hall or this questionnaire, please contact .

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