Support the Asal Sayas Act Asal Sayas National Strategy on Young Adult Cancers ActThank you for your interest in helping pass the Asal Sayas National Strategy on Young Adult Cancers Act. Whether you’re a patient, survivor, caregiver, volunteer, or represent an organization, your voice helps show Congress how many people are behind this bill. Please take a few minutes to tell us how you’d like to get involved. I am completing this survey as:An individual (patient, survivor, caregiver, or supporter)A health care professional or researcherA representative of an organizationOrganization NameYour Contact InformationFirst NameLast NameZIP Code (optional)Email AddressWould you like to be added to our email list to receive updates on the bill?YesNoHow would you like to help?(Select all that apply)Share posts about the bill on social mediaContact my members of Congress by email, phone, or letterMeet with members of Congress or their staffShare my personal story or a patient, survivor, or caregiver story for advocacy materialsHelp recruit others who can speak with their elected representativesAttend or volunteer at Alliance advocacy events (e.g., Hill Day or a press event)Sign on to future letters or statements supporting the billOther (please describe)How would your organization like to help? (Select all that apply)Post on your website or social media channelsShare coalition updates in your organization's newsletter or member communicationsHave meetings with members of CongressHelp identify constituents who can speak with their elected representativesRecruit advocates to submit written testimonials and personal storiesInclude as talking points in your events or meetingsParticipate in or co-host events with the Colorectal Cancer AllianceActivate the communities you serve (please describe how)Sign on to future coalition letters or statements as the effort progressesProvide patient, survivor, or caregiver stories for advocacy materialsProvide financial or in-kind support for advocacy events (e.g., Hill Day, press event)Create and share fact sheets that connect your organization’s cancer focus to the goals and impact of the bill for young adultsOther (please describe)What resources would help support your advocacy? (Select all that apply)Alliance logo or branded materialsEducational fact sheetsResearch reports and supporting dataIssue or policy briefsAdvocacy toolkitsKey messages and talking pointsPosition statements or letters of supportSocial media graphics, templates, or sample postsPatient, caregiver, or community storiesVideos, photographs, and other promotional materialsWould you like someone from our team to follow up with you?YesNoIs there anything else you would like to share about your connection to this effort?Contact Information
Asal Sayas National Strategy on Young Adult Cancers ActThank you for your interest in helping pass the Asal Sayas National Strategy on Young Adult Cancers Act. Whether you’re a patient, survivor, caregiver, volunteer, or represent an organization, your voice helps show Congress how many people are behind this bill. Please take a few minutes to tell us how you’d like to get involved. I am completing this survey as:An individual (patient, survivor, caregiver, or supporter)A health care professional or researcherA representative of an organizationOrganization NameYour Contact InformationFirst NameLast NameZIP Code (optional)Email AddressWould you like to be added to our email list to receive updates on the bill?YesNoHow would you like to help?(Select all that apply)Share posts about the bill on social mediaContact my members of Congress by email, phone, or letterMeet with members of Congress or their staffShare my personal story or a patient, survivor, or caregiver story for advocacy materialsHelp recruit others who can speak with their elected representativesAttend or volunteer at Alliance advocacy events (e.g., Hill Day or a press event)Sign on to future letters or statements supporting the billOther (please describe)How would your organization like to help? (Select all that apply)Post on your website or social media channelsShare coalition updates in your organization's newsletter or member communicationsHave meetings with members of CongressHelp identify constituents who can speak with their elected representativesRecruit advocates to submit written testimonials and personal storiesInclude as talking points in your events or meetingsParticipate in or co-host events with the Colorectal Cancer AllianceActivate the communities you serve (please describe how)Sign on to future coalition letters or statements as the effort progressesProvide patient, survivor, or caregiver stories for advocacy materialsProvide financial or in-kind support for advocacy events (e.g., Hill Day, press event)Create and share fact sheets that connect your organization’s cancer focus to the goals and impact of the bill for young adultsOther (please describe)What resources would help support your advocacy? (Select all that apply)Alliance logo or branded materialsEducational fact sheetsResearch reports and supporting dataIssue or policy briefsAdvocacy toolkitsKey messages and talking pointsPosition statements or letters of supportSocial media graphics, templates, or sample postsPatient, caregiver, or community storiesVideos, photographs, and other promotional materialsWould you like someone from our team to follow up with you?YesNoIs there anything else you would like to share about your connection to this effort?Contact Information
