Thank you for expressing your interest in supporting the CURE OM initiative! This year we have a multitude of volunteer opportunities for folks to get involved in. We would love to hear from you to better understand what you may be interested in and the best ways we can support the OM Community. Thank you for completing this survey.

Question Title

* 1. Name:

Question Title

* 2. Email Address:

Question Title

* 3. Phone number:

Question Title

* 4. Are you a patient, family member or a caregiver?

Question Title

* 5. How did you find the Melanoma Research Foundation (MRF) and CURE OM specifically?

Question Title

* 6. What was the year of your diagnosis?

Question Title

* 7. What is your diagnosis?

Question Title

* 8. Were you diagnosed with

Question Title

* 9. What type of treatment have you received? (Click all that apply)

Question Title

* 10. Have you attended any MRF events? If so what events?

Question Title

* 11. Are you registered in the VISION Platform?

Question Title

* 12. If you are interested in volunteering to support CURE OM, what type of engagements interest you the most?

Question Title

* 13. What motivates you to contribute your time and skills to CURE OM?

Question Title

* 14. What specific goals or outcomes are you passionate about achieving through your involvement?

Thank you so much for taking the time to complete our survey. We want to let you know someone from the MRF will be in touch with you soon. Thank you again for your participation and support!

T