Personal Homepages  -  Create/Maintain Your Homepage

For your own safety and privacy we recommend that you do not include contact information on your personal homepage. We reserve the right to review personal homepages.

Username and Password

To be able to modify your homepage in the future please enter this information:
Username:

Please enter a password:
Password:
Confirm your password:
Password:

Who Are You?

What is you first name?(Please only include your first name for confidentiality reasons)

What are some of your hobbies/interests?

Some of my hobbies and interests...

How old are you?

What is your occupation?

I am...

Think of a quote that describes who you are or a quote to live by. This quote will be displayed on your web page:

What is your favorite color? (This color will be used to help personalize your homepage)

What picture best represents you? You can decorate your home page by selecting a picture here:


Information About Your Diagnosis

What was your diagnosis?

Leukemia
Solid Tumor
Liver Cancer
Other

What year were you diagnosed?

How old were you at the time of your diagnosis?

Where were you treated?

What kinds of treatments did you receive? Choose all that apply:

Radiation
Chemotherapy
Surgery
A Bone Marrow Transplant
Other

Information and Support to other Survivors and Their Families

Do you have suggestions for other survivors?

My suggestion(s) to other survivors is/are...
What category does your topic fit under?
Insurance and financial information
Health issues and concerns
School and job issues
Other

Do you have a short story, poem, or thought that you would like to share about your experience?

What is the most important lesson you have learned from your experience?

The most important lesson I learned from my experience is...

What is a positive outcome(s) from your experience?

A positive outcome from my experience is...