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pxoMHd9YHzEB99TtX4ryT2kJAWCwTL33dVxjxuwttYecqI7UsNYbxx82mekdGV6Y5yD

Meet the Young Breast Cancer Community

Join us for an afternoon of learning and connecting with the young breast cancer community, a community who intimately understands - whether they've "been there" themselves, loved someone through it all, or have dedicated their work to supporting the unique needs of young adults with cancer.

Keynote Address - Learn from Magnolia Contreras, MSW, MBA, vice president of Community Health at Dana-Farber about the power of community and support after a breast cancer diagnosis.
Patient Panel - Hear personal stories and perspectives from young adults diagnosed with breast cancer.
Resource Expo - Learn about organizations that support the young breast cancer community.
Social Hour - Meet others who have had a similar experience.

We look forward to spending this time with you - learning and building new relationships.

Registration is required to attend this event.

Please register by September 29th.

If you have any questions about this event, please email: youngandstrong@partners.org.

First Name:

* must provide value

Last Name:

* must provide value

Email Address:

* must provide value

Lunch will be served at this event. Do you have any dietary restrictions/preferences?

* must provide value

Yes

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If yes, please specify.

* must provide value

Do you have any concerns or obstacles in getting to Lookout Farm for this event?

* must provide value

Yes

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If yes, please specify. The Young and Strong team will be in touch to address any concerns and/or navigate any obstacles.

* must provide value

What is your age?

* must provide value

18-29 years old

30-39 years old

40-44 years old

45+ years old

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Which of the following best describes you?

* must provide value

Newly Diagnosed

In Active Treatment Stages 0-IIIc Breast Cancer

Living with Metastatic Breast Cancer

In Survivorship Care

Healthcare Provider

Other

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If other, please specify.

What is your sub-type? (check all that apply)

* must provide value

ER Positive

PR Positive

HER2 Positive

Triple Negative (TNBC)

Inflammatory Breast Cancer (IBC)

I don't know

I prefer not to answer

Which treatments did you undergo? (check all that apply)

* must provide value

Lumpectomy,

Mastectomy (bilateral or unilateral)

Chemotherapy

Radiation

Endocrine (hormone therapy)

I prefer not to answer

Which treatments are part of your treatment plan or will be part of your treatment plan? (check all that apply)

* must provide value

Lumpectomy,

Mastectomy (bilateral or unilateral)

Chemotherapy

Radiation

Endocrine (hormone therapy)

I don't know yet

I prefer not to answer

Are you interested in any of the following topics? (check all that apply)

* must provide value

Parenting

Dating

Work/Career

None

Are you interested in connecting with other attendees at your table ahead of the event?
(If yes, we plan to send a group email two weeks prior to the event, so be on the lookout for this)

* must provide value

Yes

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Do we have permission to share you email address with them?

* must provide value

Yes

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Is there anything else you would like us to know?

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Are you planning on bringing a plus one?

* must provide value

Yes

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Do you know who will be joining you?

* must provide value

Yes

No / I don't know yet / Invite still pending

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No worries if your plus one is not solidified yet! The Young and Strong team will be in touch will a separate link to register your guest!

If yes, what is your guest's first and last name?

* must provide value

What is their relationship to you?

* must provide value

Does your guest have any dietary restrictions/preferences?

* must provide value

Yes

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If yes, please specify.

* must provide value

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.

Meet the Young Breast Cancer Community

Help us best connect you with attendees who have undergone similar experiences by answering the following questions:

You are invited to bring a loved one who has been a source of support for you throughout diagnosis, treatment, and/or post treatment to this event.

You have selected an option that triggers this survey to end right now.