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Expressive Writing Group Registration

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Thank you for your interest in the Mass General Brigham Cancer Institute's expressive writing groups! Please complete the form below to register. We will keep you updated on program dates and details as they are finalized.

First name

* must provide value

Last name

* must provide value

Date of birth

* must provide value

M-D-Y

Legal sex

* must provide value

Preferred pronouns

Preferred email address

* must provide value

Preferred phone number

* must provide value

Please provide the name of your oncologist at MGH (this includes satellite MGH locations in Danvers, Waltham, and Newton-Wellesley).

* must provide value

What is the date you were diagnosed with cancer? If you have received multiple diagnoses, please enter the most recent date.

* must provide value

M-D-Y

To help us place you in the group that best fits your needs, please share your current cancer stage (if you know it).

* must provide value

What kind(s) of treatment have you received for cancer? Select all that apply.

* must provide value

Surgery

Chemotherapy

Radiation

Immunotherapy

Clinical Trial

Hormone Therapy

Other

If known, what is the expected duration of your treatment?

* must provide value

How would you describe your experience with expressive writing (e.g., journals, creative writing, etc.)?

What are your main motivators for joining this expressive writing support group?

What do you hope to gain from participating in this expressive writing support group?

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Are there any specific concerns you have about participating in a group setting?

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Do you have a history of any of the following mental health conditions? Please select all that apply. Please note that your responses will be kept confidential and will not be entered into your medical record or otherwise shared.

Anxiety

Depression

Bipolar Disorder

OCD

PTSD

Other

Do you need a journal? Free journals are available for pick-up thanks to donations made to the Cancer Center.

Yes

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What time(s) of day are most convenient for you to attend group sessions? (If a time has already been set for your group, this may impact the timing for future group offerings).

Is there anything else you'd like to share that may help us better support you in this expressive writing journey?

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