5225 Library Rd. #223 Bethel Park, PA 15102

Halo Fund Survey

 

The Pink Pamper is Pittsburgh’s preeminent cancer-related non-profit with over 13 years of experience raising money in support of our mission which is to improve the lives and well-being of women impacted by the devastating and life-altering effects of a cancer diagnosis.

A portion of the proceeds raised each year are distributed in the form of a $350 voucher to women who reside in the greater Pittsburgh area to help offset some of the costs of purchasing a wig.

The vouchers can be redeemed at Hair Enhancements of Pittsburgh.

Thank you for taking the time to complete this survey. This will enable The Pink Pamper to raise more money to help more women with their hair replacement. Your information will be held private and will not be used to solicit, in any way, without your consent.

How would you describe the area you have spent the majority of your life?*
Please select the race that you identify with most closely:*
What is the highest level of education you completed?*
Where are you receiving treatment?*

If you did not have this financial assistance would you have still purchased a wig? **
Did you receive money from any other source in addition to The Pink Pamper for your hair replacement?*
Who did you receive money from?*

Does hair replacement while going through chemotherapy make a difference in your daily activities such as work, church, school, family outings?*
Did hair replacement make a difference on your journey to wellness?*
This field is for validation purposes and should be left unchanged.