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On behalf of Twist Out Cancer, we want to thank you for your participation in the program! As we prepare to celebrate on October 27, 2024, it is critical that we collect key information from all Inspirations and Artists. Please take a few moments to fill out the below questionnaire that will be used for the virtual gallery and 3D art exhibition.

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* 1. Name

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* 2. Location

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* 3. Social Media Handles

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* 4. Are you a previvor, survivor or caregiver? Please specify how you identify below and what type of cancer you have been impacted by.

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* 5. Share your Twist on Cancer (lessons learned, strategies, new perspectives). What would you like others to know about your experience with cancer.

Please submit a high resolution (no smaller than 3mb) headshot and an optional 30 second video testimonial that summarizes how you have been touched by cancer and what your experience was like working with your artist. You should submit both the labeled image and video testimonial through dropbox. Please note that your submission will not be considered complete until the survey is complete and the digital assets are uploaded.
***Once digital assets are uploaded in Dropbox, you must return to this survey and press DONE at the bottom of this page.***
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