Colon Cancer Awareness
Colon Cancer Awareness Survey
13WHAM News and the URMC care about your health. Over the past month, we had a colon cancer awareness campaign to help educate and inform our viewers. Please take the time to fill out a brief survey. It’s only nine questions and your personal information will be kept confidential.
Survey Questions
1. What is your gender?
2. What is your Age Group?
3. Have you seen or heard any ads or public service announcements related to colon cancer awareness in the past 3 weeks?
4. Have you already gotten a colonoscopy or plan to get one when you turn 50?
5. Did the announcement(s) move you to talk with someone about the need for a colonoscopy?
6. Was the conversation about the colonoscopy for your benefit or someone else’s?
7. Did you call a primary care doctor?
8. Did you call a specialist (i.e. GI, surgeon, etc.)?
9. Did you call a cancer center?
   
Contact Information (to contact you in the event you win one of our random drawings)
Name
E-mail
Phone
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