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Fertile Future is a Canadian national non-profit organization that provides fertility preservation information and support services to cancer patients and oncology professionals. Each year, an estimated 10,000 young Canadians face a cancer diagnosis. Approximately 8,000 of them will win this battle. Without knowing the importance of fertility preservation prior to their treatment, many are left infertile with few options. Fertile Future aspires to change this reality for cancer patients. Our mission is to inform, educate and support cancer patients who are facing fertility-risking medical treatment, and oncology professionals who are providing this care.

Name (required)

Gender
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Age

Type of Cancer

Cancer Treatment Received

Relationship Status at Diagnosis

Current Relationship Status

Were you a parent at time of diagnosis?
YesNo

Fertility preservation and fertility support services are important to me because

At time of diagnosis, did you know that cancer treatment could affect your fertility?

Do you feel you received adequate information and/or support regarding fertility risks associated with cancer treatment and fertility preservation upon your diagnosis? Why or why not?

If you were not already aware, how did you feel after learning about the possibility of cancer-related infertility?

Briefly describe your life prior to your diagnosis (work, education, family, location):

Did your diagnosis change your life or alter your plans for the future?

How did your diagnosis impact your desires to become a parent in the future?

If you did undergo fertility preservation, please briefly describe your experience.

Have you become a parent post cancer treatment?

What advice would you give newly diagnosed cancer patients who are facing the possibility of infertility?

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How did you hear about Fertile Future?

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