About you

Wed be very grateful if you could answer the questions below.

It will help us to understand what you would like to review and how
often.
This information does not change our relationship or communication
with you.
(1) Contact details:
Full name and title
Email address

Ms. MONIKA JOSE

j.monika2@gmail.com

Telephone number
Postal address
TELFORD

07405936499
30 DELBURY COURT, DEERCOTE, HOLLINSWOOD,
TF3 2BS

(2) Tick the boxes that best describe you:

Person who has cancer
Someone who has had cancer

Friend or relative of someone affected by cancer

-None(3) Age:

Under 18
18-24
25-34
35-44
Prefer not to say

45-54
55-64
65-79
Over 80

(4) What is your ethnic group?

Asian (INDIAN)

Please tick here if youd prefer not to say

(5) How did you hear about reviewing for us?
Internet

Cancer Information Development Reviewing 2013

Carer
A former carer
Other

(6) We can email you to check how busy you are before we send
something to review. Would you like us to do this?
Yes

No

Would you prefer to receive resources by email or by post?

Email

Post

(7) Its important our information can be easily understood by anyone. So

you do not need to have experience of a type of cancer, treatment or
topic to review our resources. However, some reviewers like to receive
resources relevant to their own experience.
Are you happy to review any resources or do you want to receive only
certain topics?
Well try to meet your requests. Sometimes, we may ask you if you can
review other topics if we cant find enough reviewers.
Im happy to review any topic
I only want to review certain topics (please list below)

Im happy to review most topics, but there are some topics I dont want to
review (please list below)

If youve asked us to, well check with you whether you want to review
a resource and you always have the right to say no.
(8) How often do you want to review for us?
About once a month
About once every three months

About once every six months

About once a year

(9) We will send the new edition of the resource to you to say thank you.
Would you like to receive this?
Yes

No

Visit be.macmillan.org.uk to see our full range of information. If you have any
questions, please contact us on reviewing@macmillan.org.uk
Data Protection and Confidentiality:
Can we keep your information to inform you about our work and ways you can support us?
Yes [ ] No [ ]
Your details will be kept securely and will only be shared with those who work on our behalf or with
trusted partners who work with us to provide you with support.
Cancer Information Development Reviewing 2013
Please contact me by email [ ] by post [ ] by telephone [ ]