123 We’re asking you to take part in our survey to ensure that we’re giving you the best experience possible and we can keep you updated in the right way. It should take around 10 minutes to complete and all responses will be treated confidentially.When were you first told you had a brain tumour?MonthPlease select…JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearPlease select…194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025What is your relationship to the person with a brain tumour?Please select…PartnerParentChildSiblingStep-parentStep-childGrandparentRelativeFriendColleaguePupilProfessionalLegal guardianOtherMother-in-lawFather-in-lawDaughter-in-lawSon-in-lawBrother-in-lawSister-in-lawAuntUncleCousinGrandchildWhat is their name?When were they first told they had a brain tumour?MonthPlease select…JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearPlease select…194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025When did they pass away?MonthPlease select…JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearPlease select…194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025When did you first become aware of The Brain Tumour Charity? I knew of The Charity before my loved one was diagnosed Soon after my loved one was diagnosed Only after my loved one passed away Have you ever used any of the support services we offer people affected by brain tumours? Please select all that apply. Called the support and information line Visited the website for more information Used the family support services Used the young adult support services Spoke to the benefits clinic Chatted or asked questions in one of the support groups Other What was it about your experience of losing someone to a brain tumour that made you want to get involved with The Brain Tumour Charity? I wanted a way to commemorate my loved one’s life I wanted to connect with others who had been through the same thing as me I wanted to change the future of brain tumours so no one else goes through this I wanted to understand more about what had happened to my loved one Were you personally diagnosed with cancer or was it someone close to you? I was diagnosed with cancer It was someone close to me Please tell us which cancer affected you or someone close to you? Breast cancer Prostate cancer Bowel cancer Skin cancer Lung cancer Other What was it about brain tumours that made you want to help us? Please select all that apply. The low survival rates (11%) It’s the biggest cancer killer of children To increase support services for people diagnosed with a brain tumour The fact that survival rates haven’t changed in 40 years Less than 3% of national cancer spend is spent on brain tumours To increase research into earlier diagnosis I would help any cancer related cause I would support any charitable cause Other Which of these statements best reflects your current understanding of what The Brain Tumour Charity does as a charity? Please select all that apply. The Charity provides support for people affected by brain tumours The Charity funds research to improve survival rates The Charity influences policy makers that can then have an impact on the brain tumour community The Charity raises awareness of brain tumours and its symptoms The Charity fundraises to improve the lives of people affected by brain tumours Other What areas of work do you feel are currently most important for us to focus on in the long term? Please rank 1 to 5 with 1 being the most important area of focus.Provide support for people affected by brain tumoursPlease select…12345Fund research and support the medical community to improve survival ratesPlease select…12345Influence policy makers, to make a difference to the lives of people and their families that are affected by brain tumoursPlease select…12345Raise awareness of brain tumours and its symptomsPlease select…12345Fundraise to improve survival rates of brain tumoursPlease select…12345 On a scale of 0-10 how committed are you to the work of The Brain Tumour Charity right now? (0 being not committed and 10 being the most committed) 0 1 2 3 4 5 6 7 8 9 10 How can The Brain Tumour Charity as an organisation best support your needs at this time? Please select all that apply. Provide me with a way to give back to a cause I care about Provide me with emotional and practical support to help cope with the disease Connect me with the brain tumour community Provide me with opportunities to take part in events and challenges Keep me up to date with the latest brain tumour news Provide hope of a brighter future for others Other Please tell us more(Required)What other charities and organisations are you supporting at this moment in time? Please select all that apply. Environmental/climate change charities Health/medical charities Children charities International aid Animal charities NHS None Other Please tell us more(Required)We promise to keep your details safe and never sell or swap them with anyone. Our privacy policy explains how we keep this promise. If you don’t want to hear from us, or you change your mind about how we contact you, please email enquiries@thebraintumourcharity.org or call 01252 237792This field is hidden when viewing the formConnection to brain tumours Self Associated In-memory Other None NameThis field is for validation purposes and should be left unchanged.
