Testimonials Anonymous Questionnaire

Home Adress (City & State) *

Child's age when he/she was diagnosed? State your child's cancer type, subtype, stage and grade.*

Describe your journey from first symptoms to final diagnosis

What did you first do after the diagnosis?

What were the protocol and treatments your child received?

Please describe changes to the protocol if happened, complications and modifications.

Please describe if your child received chemo/radiation.
If chemo- please provide types of chemo? How many rounds?
If radiation- please provide types- proton/regular?

Can you describe if your child had side effects?
If yes- which side effects did your child have? What was helpful in providing relief?
Can you describe how you dealt with the side effects?

Please provide the names of doctors, medical centers, and other institutions helped you during the process.
(Contact information- email, phone number, etc.)

What was the post treatment follow up your child received?

What were the main crossroads you encountered?
What were the most important decisions that you’ve made?

How is child doing today? Since when?

Does your child's health and well-being were affected, and if yes, how?

What are the important tips you can give to other caregivers who are in this journey?
What would you advise to other parents who are now starting the same journey?