Multiple Myeloma Survey

Welcome to the Myeloma survey!

This survey was created for people who have been diagnosed with myeloma. It is an informal background history of patients.

This survey is in no way connected with any "organizations". It is a private survey done by and for the patients, caregivers, family members and friends.

Please print out each file (there are 11 of them - some files consist of two pages, the rest just one page) and complete the survey by hand. Once the survey is complete, please mail it to:

Sue Lane 
3854 So. Bannock St.  
Englewood, CO 80110.

You may have an option of a "font size" on this page. Please remember that the font size you are viewing will be the font size that will be printed. If you want to reduce the font size before you print your pages, please do so.

If you wish to participate in this survey, please follow the above instructions. The information you send me will be held in the utmost confidence. Results of the survey will be compiled in a format in such a way that no names will be used.

Please remember -

"IN THE CASE OF MYELOMA, IT WILL BE IMPOSSIBLE TO DETERMINE THE EXTERNAL CAUSAL SOURCE UNTIL THE MEDICAL RESEARCH PEOPLE ARE ABLE TO DETERMINE THE INTERNAL CELLULAR ETIOLOGY"
Thank you!

Start the survey by clicking here