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Location trail
CONTACT US > CANCER ENQUIRY > EMAIL ENQUIRYAsk a nurse enquiry form
Additional Help
Your name: Please add your first name
How old are you: Please tell us how old you are
Email address for our reply : Please provide your email address, please check it because we need it to send you your reply.
Confirm email address: Please confirm your email address by writing it here too, so we can contact you with your reply
What is the first part of your UK postcode?: This lets us know the general area of the UK that you live in
Person with cancer: If you have cancer, put me, otherwise choose the best description of who it is that has cancer
Age of person with cancer: How old is the person with cancer. If you have cancer, how old are you?
Sex of person with cancer: Is the person with cancer male or female? If you have cancer are you male or female?
What type of cancer is it?: Please choose the cancer that you are asking the question about.
Is it anywhere else?: Has the cancer spread anywhere else in your body?
What treatment has been given?: What treatment have you had for your cancer?
Your question for our nurse: Please keep your question as focused as possible, then add any extra information in the next box.
Any other information our nurse might find useful: Please add in anything you think might help our nurse answer your question.
Daytime telephone number: Please tell us your daytime telephone number in case we have problems getting back to you by email
What is your ethnic group?: These questions are to help us improve our service, you are not obliged to answer them.
What is (was) your job or main occupation?: This question is not obligatory.
Cancerbackup respects the privacy and confidentiality its visitors. We will never knowingly disclose identifiable information to third parties. For more information please see our Privacy statement.