Patient and Community Feedback Forum
The ABCF is dedicated to developing new programs to support the community, patients, and their families. Our first two initiatives, the Brain Cancer Support Team and the Financial Hardship Grants, have been thoughtfully developed in consultation with the community to address critical needs and provide meaningful assistance. We want to hear feedback and suggestions directly from the community to ensure our programs continue to meet your needs and how we can continue to support you. 
Notes:
  • All information gathered will not be stored and will be kept confidential. 
  • We will not share your data with any other company, agency or individual.
  • You do not need to complete all questions, and we would really appreciate your input.

You can opt in to receive the results of the survey and further communication from us relating to this project.

Please enter your information:
Demographics

Please select your role:



Age:





Gender:



How many people are in your immediate family? (select all that apply)







Household Annual Combined Income:






How long have you or your loved one been dealing with brain cancer?




If you feel comfortable, please specify the type and stage of brain cancer:
Medical Care and Treatment
How satisfied are you with the medical care and treatment options available for Brain Cancer patients in Canberra?





Please add comments:
Have you encountered any challenges or difficulties related to accessing medical care and treatment for brain cancer in Canberra? Please describe your experiences:
Financial and Support Needs
If you were to receive financial assistance, which of the following areas would you prioritise? Please select up to five, representing the most important types of support.










Are there any other specific financial or support needs not mentioned above that you believe are important for brain cancer patients and caregivers in Canberra? Please describe:
Are there are any other programs or services that you think the Canberra community would benefit from or that you would like to see?

The Australian Brain Cancer Foundation Ltd