The Melanoma Research Foundation (MRF) is planning a weekend retreat for families in early 2025 at a children's camp in Florida. As we plan for this important retreat dedicated to supporting pediatric melanoma families, your insights and initial interest in the event are very important to us. It will help us better understand your needs, preferences, and expectations in ensuring that the retreat is a meaningful and supportive experience for everyone involved. Thank you for taking the time to share your thoughts and experiences with us. Your input is crucial in creating a supportive environment for all families.

All information shared will be kept confidential.

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* 1. What is your name and relationship to patient?

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* 2. What is your email address and phone number?

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* 3. What state does your family live in?

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* 4. How many adults are in the family?

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* 5. What type of melanoma was your child diagnosed with?

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* 6. How many children are in the household? What are their ages? (please indicate which child is a melanoma patient)

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* 7. What activities would your children be most interested in during the retreat weekend? Below are just a few examples.

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* 8. Which of the following weekends in February would work best for your family? (Click all that apply)

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* 9. Please rate your interest in the following topics: (click all that apply)

  Very Interested Somewhat Interested Not at all interested N/A
Understanding Melanoma and its Impact on Families
Pediatric Melanoma: Diagnosis and Treatment Options
Coping Strategies and Emotional Support for Families
Nutritional Guidance for Pediatric Patients
Importance of Sun Safety and Skin Protection
Balancing Family Life with a Child’s Medical Needs

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* 10. Are there any specific experts or speakers you would like to hear from during the retreat? Please provide their names and any relevant information

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* 11. Have you attended an MRF event or MRF pediatric event in the past?

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* 12. If yes, what events?

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* 13. How would you prefer to receive updates and information about the retreat?

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* 14. Is there anything else you would like us to know or consider when planning this event? Any specific concerns or suggestions you have for making the retreat beneficial for melanoma families?

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