National PanCAN 2024 Supporter Survey

Please take a moment to tell us a little about yourself. This survey only takes five minutes and will help us understand what we can improve and how we can better communicate with you!

1. Why do you care about helping patients with pancreatic cancer and their families? (Please choose all that apply.)

I’m a patient/survivor.

I’m a caregiver for a patient.

Someone I care about is a patient/survivor.

I’m a healthcare professional.

My field of research is pancreatic cancer.

I’m connected through biopharma.

I’m a corporate sponsor.

I lost a loved one to pancreatic cancer.

In my own words:

(Maximum response 255 chars, approx. 5 rows of text)

2. If you’re comfortable, would you mind sharing your loved one’s name and a few details?

(Maximum response 255 chars, approx. 5 rows of text)

* Indicates a required field.

3. If you had to choose one thing about fighting this disease that is most important to you, what would it be? (Please choose one.)

It is critical to make more effective treatments available.

We need more researchers dedicated to the world’s toughest cancer.

I think it’s important to make sure compassionate cancer care is available to patients for years to come.

I want to ensure there are early detection tests.

I believe advocating for more government funding for pancreatic cancer research is important.

4. Are you interested in getting more involved in the fight against pancreatic cancer?

Yes, I want to participate in PanCAN PurpleStride.

Yes, I’d like to volunteer.

Yes, I’ll hold my own fundraiser.

No, I’m not in a place to do this right now.

I’m already involved in the fight.

Maybe next year!

5. On a scale of 0 to 10, please indicate how much you agree with each statement, with 10 being “strongly agree” and 0 being “strongly disagree.”

I am a committed PanCAN donor.

Strongly Disagree (0) Strongly Agree (10)

I feel a sense of loyalty to PanCAN.

Strongly Disagree (0) Strongly Agree (10)

PanCAN is my favorite charitable organization.

Strongly Disagree (0) Strongly Agree (10)

How You Can Help

6. Automatic monthly gifts deducted from your bank account or credit card are a simple and effective way to make sure PanCAN is around for years to come. Monthly gifts help us budget and plan for our long-term work in the fight against pancreatic cancer. Would you join our special group of PanCAN Circle of Hope monthly donors by considering this type of gift?

I'm already a monthly donor and a member of Circle of Hope.

Yes, I am interested in making monthly gifts — please contact me.

Maybe, but I'd like some more information before deciding.

Not right now, thank you.

7. Gifts left to PanCAN through a person’s will are of enormous benefit to our work to help pancreatic cancer patients and their loved ones. Many people like to leave money in their will or trust to PanCAN. Have you included a gift to PanCAN in your will? (Please choose one.)

Yes, I have already included PanCAN in my will.

I intend to include PanCAN when I make or revise my will.

I would consider this type of gift and would like more information.

I have a will and have mentioned other charities, but I have not included PanCAN.

I do not have a will.

I have written a will but not included a charity.

It’s not something I’m interested in right now, thank you.

8. If you were to tell a friend about PanCAN and why you support our work, what would you say?

(Maximum response 255 chars, approx. 5 rows of text)

9. Is there anything else you’d like us to know?

(Maximum response 255 chars, approx. 5 rows of text)

10. What is your date of birth?

So we can celebrate you on your special day!

11. For some types of cancer, immune responses may vary based on ancestry and gender, and this knowledge can help guide diagnosis and treatment options. PanCAN-backed scientists are exploring how these things can impact pancreatic cancer. If you are comfortable sharing your demographic information, please do so below:

Race/Ethnicity

American Indian and Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian and Other Pacific Islander

Other

Two or More Races

White

Gender

Male

Female

Nonbinary

Prefer Not to Answer

12. Do we have your current contact information? Please fill in any blanks or correct any errors below.

First Name:

Last Name:

Spouse Name:

Spouse Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Phone:

Phone Type:

Home

Mobile

Email:

Spouse Phone:

Spouse Phone Type:

Home

Mobile

Spouse Email:

1. Why do you care about helping patients with pancreatic cancer and their families?

I'm a patient/survivor.
I'm a caregiver for a patient.
Someone I care about is a patient/survivor.
I'm a healthcare professional.
My field of research is pancreatic cancer.
I'm connected through biopharma.
I'm a corporate sponsor.
I lost a loved one to pancreatic cancer.
In my own words:

2. Why do you care about helping patients with pancreatic cancer and their families? (Text response) (Maximum response 255 chars, approx. 5 rows of text)

3. If you're comfortable, would you mind sharing your loved one's name and a few details? (Maximum response 255 chars, approx. 5 rows of text)

4. If you had to choose one thing about fighting this disease that is most important to you, what would it be? (Please choose one.)

It is critical to make more effective treatments available.
We need more researchers dedicated to the world's toughest cancer.
I think it's important to make sure compassionate cancer care is available to patients for years to come.
I want to ensure there are early detection tests.
I believe advocating for more government funding for pancreatic cancer research is important.

5. Are you interested in getting more involved in the fight against pancreatic cancer?

Yes, I want to participate in PanCAN PurpleStride.
Yes, I'd like to volunteer.
Yes, I'll hold my own fundraiser.
No, I'm not in a place to do this right now.
I'm already involved in the fight.
Maybe next year!

6. On a scale of 0 to 10, please indicate how much you agree with each statement, with 10 being "strongly agree" and 0 being "strongly disagree." --- I am a committed PanCAN donor.

7. On a scale of 0 to 10, please indicate how much you agree with each statement, with 10 being "strongly agree" and 0 being "strongly disagree." --- I feel a sense of loyalty to PanCAN.

8. On a scale of 0 to 10, please indicate how much you agree with each statement, with 10 being "strongly agree" and 0 being "strongly disagree." --- PanCAN is my favorite charitable organization.

9. Automatic monthly gifts deducted from your bank account or credit card are a simple and effective way to make sure PanCAN is around for years to come. Monthly gifts help us budget and plan for our long-term work in the fight against pancreatic cancer. Would you join our special group of PanCAN Circle of Hope monthly donors by considering this type of gift?

I'm already a monthly donor and a member of Circle of Hope.
Yes, I am interested in making monthly gifts -- please contact me.
Maybe, but I'd like some more information before deciding.
Not right now, thank you.

10. Gifts left to PanCAN through a person's will are of enormous benefit to our work to help pancreatic cancer patients and their loved ones. Many people like to leave money in their will or trust to PanCAN. Have you included a gift to PanCAN in your will? (Please choose one.)

Yes, I have already included PanCAN in my will.
I intend to include PanCAN when I make or revise my will.
I would consider this type of gift and would like more information.
I have a will and have mentioned other charities, but I have not included PanCAN.
I do not have a will.
I have written a will but not included a charity.
It's not something I'm interested in right now, thank you.

11. If you were to tell a friend about PanCAN and why you support our work, what would you say? (Maximum response 255 chars, approx. 5 rows of text)

12. Is there anything else you'd like us to know? (Maximum response 255 chars, approx. 5 rows of text)

13. Race/Ethnicity

American Indian and Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian and Other Pacific Islander
Other
Two or More Races
White

14. Gender

Male
Female
Non-Binary
Prefer Not to Answer

15. Spouse Preferred Name

16. Spouse Phone

17. Spouse Phone Type

18. Spouse Email

19. Phone Number

20. Phone Type

21. Personal Information

Name:

First Name:

Last Name:

Date of Birth:

Address:

Street 1:

Street 2:

City/Town:

State/Province:

ZIP/Postal Code:

Email:

Yes, I would like to receive e-mail from Pancreatic Cancer Action Network

Yes, I would like to receive postal mail from Pancreatic Cancer Action Network

22. Spouse Last Name

Spam Control Text: Please leave this field empty