It Takes Balls Podcast Submissions

Please note, not all submissions will be accepted or featured on “It Takes Balls” Podcast.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation

What is your story?

What would you like to share with others if featured on It Takes Balls Podcast?

At what age were you diagnosed with testicular cancer?

What is your current age?

What led you to finally see a doctor?

What was the extent of your treatment?

Orchiectomy, type of chemo, RPLND, etc.

Briefly describe any notable events during treatment

How have you felt in survivorship?

Have you had any lasting effects from testicular cancer treatment?

What would you say to someone currently facing a testicular cancer diagnosis?

Did you have children prior to your testicular cancer diagnosis?

Did you have children after your testicular cancer diagnosis? If so was it conceived naturally, through IVF, etc?

How did you hear about the podcast?

If you would like to be tagged on social media channels, please list all below. We will tag you when your episode is released.