分享你的故事 Every day millions impacted by colorectal cancer search online looking for stories of people who’ve also faced this disease. When you share your experience, you let others know they are not alone. 在Facebook上分享 在LinkedIn上分享 在Twitter上分享 复制此网址 通过电子邮件分享 Has Colorectal Cancer Impacted Your Life? We guarantee that when you share your story, you will inspire others. Plus, you’ll inform our team about the latest issues patients face. We’ll use your feedback when we create future blogs, webinars, podcasts, and other patient resources. Need some encouragement or inspiration to share your experience? Check out our library of stories from others who’ve gone before you. Comparte tu historia en español 名字 姓氏 电子邮件 Phone number: Address line 1 Address line 2 城市 国家请选择... AL AK 亚利桑那州 ǞǞǞ CA 氧气 CT ǞǞǞ 直流电 FL GA 亥时 身份证 劳工部 纳入 IA 锦州 KY 洛杉矶 医学 医学博士 马云 医学博士 明尼苏达州 MS 医学 MT NE 内华达州 NH 新泽西州 北美洲 纽约 NC 玖富 羟基化合物 认可 或 PA 公关 RI SC ǞǞǞ TN 德克萨斯州 UT VT 弗吉尼亚州 WA WV 辽宁省 WY Zip Ethnicity (select all that apply)American Indian or Alaskan Native AsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Pacific Islander White CaucasianPrefer not to answerOther If your ethnicity is not listed above, you may enter it here What is your connection to colorectal cancer (CRC)?请选择... 患者/生还者 Caregiver Family Member of Patient NOT Blood Relative Family Member of Patient Blood Relative Friend of Patient 医务人员 倡导者 Other If you are a survivor or patient (or caregiver to a survivor or patient), please select whether you (or your loved one) received a colon or rectal cancer diagnosis and what stage you were at the time of diagnosis:请选择... Rectal - Stage I Rectal - Stage II Rectal - Stage III Rectal - Stage IV Colon - Stage I Colon - Stage II Colon - Stage III Colon - Stage IV Type of screening completed (select all that apply):Fecal Occult Blood Test (FOBT)粪便免疫化学试验（FIT）Cologuard结肠镜检查Other If you selected Other, please list: How old were you or your loved one at the time of diagnosis? Tell us about your diagnosis or your loved one's diagnosis. When did it happen, where were you when you got the news, and was anyone with you? (Patients, please include your stage at diagnosis) Ideal story length is 250+ words What were the symptoms that led you or your loved one to talk to your doctor about your concerns?Rectal bleeding or blood in stoolOngoing change in bowel habitsNarrow stoolsStomach cramps/bloating/fullnessUnexplained, sudden weight loss疲劳Unable to have a bowel movement (bowel obstruction) or constipationNo symptomsOther If you selected Other, please briefly describe Do you have easy access to affordable health care where you live? What type of treatment(s) did you receive?化疗手术辐射Other If you selected Other, please describe Do you or your loved one have an ostomy?请选择... 是 没有 If you answered yes, please select the appropriate specifics about you or your loved one's ostomy experience:请选择... Colostomy 回肠造口术 Permanent Temporary Reversal surgery Are you or your loved one in active treatment?请选择... 是 没有 How long were you/have you (or your loved one) been in active treatment?请选择... 0-12 months 1-2 years 2-3 years 3-5 years 5+ years Please select side effects from the list below that you or your loved on experienced (or currently experience) as a result of treatment and/or surgery:疲劳Bowel irregularitiesMouth soresChemo induced nausea and vomiting (CINV)拉斯Secondary cancer(s)Pain感染High blood pressure神经病变Hand-foot syndromeSkin rashes (skin toxicity, chemo rash)Chemo brainDistress or mental health issues/illness Have you participated in a clinical trial?请选择... 是 没有 If you have participated in a clinical trial, tell us about your experience! If you haven't participated in a clinical trial, is there a reason why? What advice do you have for someone who might be afraid to seek medical advice or colorectal cancer screening? What tools, information, or resources have you found most helpful? What Fight CRC resources have you found helpful?你在战斗中的指南超越蓝色 magazine筛选小杂志皮肤毒性小杂志临床试验小杂志Biomarkers Mini MagazineBiosimilars Mini Magazine遗传学小杂志副作用小杂志Spanish resources网络研讨会播客 What words of wisdom do you have for other relentless champions? Share some words of encouragement or advice you received that helped you Do we have your permission to send you occasional text messages?请选择... 是 没有 Would you like to receive emails on additional news about Fight CRC? (select all that apply)倡导研究Webinar AlertsFundraising OpportunitiesPatient Education活动Monthly Newsletters Please enter your social media handles if you'd like us to share them as part of your bio Facebook: Twitter: Instagram: YouTube: TikTok: Website/Blog: Would you like to be contacted about Fight CRC Volunteer Opportunities?是Not at this time Please upload a recent photo of yourself (bonus points for a #StrongArmSelfie!) Use an image that is at least 300 pixels wide and 300 pixels tall If you are comfortable sharing, please upload a photo of yourself during treatment By submitting this form you agree to give us permission to potentially share your story on our blog or social media channel. Please check the box to acknowledge.I acknowledge that Fight CRC may share some of the information provided on this form on blogs or social media channels. reCAPTCHA有助于防止自动生成垃圾邮件。 提交按钮将被禁用，直到你完成验证码。 搜索患者资源搜索