Crush It For Curtis Foundaton| My Story

My Story. My Life.

I'm a Catalyst For Change!

The Larger Scale - Advocacy

Give Others Encouragement So They Are Not Alone!

Sharing your story on a larger scale supports others living with cancer or men's health issues. Your story raises public awareness, advances research, improves the quality of cancer care and men's health. Your story also impacts legislative and regulatory issues that affect cancer care and men's health issues.

Your story can have a profound effect on others who are dealing with similar cancers or health issues.

Which of the following best describes you?

First name

Date of Birth

Last name

Phone

Gender

Address

Best way to contact you?

My Story. My Life

Cancer stage

Current cancer status

Did you partcipate in in the following?

Who is your treating oncologist? * optional

Please provide a brief summary of your story below

What advice would you give other patients?

Could we contact you if we need more information about your story?

The face behind the story.

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By sharing your information with us, you agree Crush It For Curtis Foundation can use your story for Crush It For Curtis Foundation awarenss activities.

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Sample Questions To Get You Started:

How did you find out you had cancer?
What's been your experience dealing with your journey from start to where you are now?
If you cared for a loved one what was the experience like? What can you share with other caregivers?
What have you accomplished during or after your cancer diagnosis or accomplishing your health issue?
Share your story on a Men's Health issue you are dealing with? Get the conversation started.
Your story can have a profound effect on others who are dealing with similar cancers or health issues.