Survey

Everyone at the CCCL thanks you for your donation!

Please take 2 minutes to fill out this survey.
Your Thoughts Matter to Us!

Optional

Full name
Phone number
Address
Email
1- How did you first know about the CCCL?

Through family or friends
Through ads
At an event
Other
2- How often do you support the CCCL?

Monthly
Yearly
Every time I hear about the center
Other
3- Are you interested to know more about the CCCL?

Yes
No
4- If yes, prioritize what interests you most to know about?

Medical Hot Topics
Events
New Support Programs
Patient Stories
Other
5- Have you ever had a negative encounter with the CCCL?

No
Yes (please describe it)
6- What do you feel towards the CCCL? You can choose one or more of the below and feel free to add your personal thoughts.

Love and Appreciation
Sadness and Fear
Pity
Pride
Other
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