Name

First Last

Email

Phone Number *

Name of your support group? *

Young Women’s Metastatic
Young Women’s Early Breast Cancer After – Hours
Young Women’s Early Breast Cancer- Midday

Technology

Firstly we’ll ask you some questions about your context to set you up well for this support group. You’ll need the following internet set up. You’ll need a reliable internet connection. You will need WiFi connected to NBN, ADSL or a cable service, 4G or 5G mobile service with at least four bars.

Technology Setup *

I have reliable internet setup

Webcam and speakers *

If you are using a computer or laptop, check the webcam and speakers are working.

My webcam and speakers are working.

Zoom *

Install or download the Zoom application to your device.

I have Zoom installed on the device I am going to use.

Headphones *

Headphones are great and a great alternative to your computer speakers

I have my speaker set up and working

Connecting

Now we’ll ask you some questions about your context to set you up well for this support group. To join, all you will have to do is click on the meeting link in the email sent to you by the facilitator and click ‘open Zoom.us’ Then you can click ‘join with computer audio.’ You will be admitted to the virtual room by the facilitator close to the planned start time.

Confirming your attendance. *

I will confirm my attendance the day before by responding to a text from my facilitator.

Testing on the day *

It is important to give yourself at least 10 minutes to prepare and connect through Zoom prior to the meeting start time. Set the camera up so that you can have good eye contact with the other participants.

I will set my camera and connect through Zoom 10 minutes prior to the meeting commencing.

Suitable space

You’ll want to have a suitable space to ensure a successful support group. This will be:

A private space that is not open to other members of your household
A place with no background noise (at least as quiet as possible). Think about TV, radio, having your phone on silent and managing family interruptions
Try to find the brightest light that shines onto your face (and not behind your head). Light should be behind the camera and shinning on you.
Try to get a neutral background behind you.
Wear headphones to prevent audion issues and facilitates easy hearing. They don’t have to be fancy just functional.
You will be placed into a ‘virtual waiting room’ until the facilitator starts the meeting.

Rules of Engagement

The rules of engagement are essential to join a group. Please agree to all before submitting.

Confidentiality *

We respect that what is said at the group and who is seen at the group is confidential. That means we do not share the meeting ID number with anyone, we ensure that the online group cannot be seen or heard by others outside of the group. Screenshots and recordings of the online group are not permitted.

I understand

Focusing on the group *

We give attention to the person who is speaking and avoid doing other activities (e.g. housework, cooking, walking, driving) during the group time. Please switch your mobile phones to ‘silent mode’.

I understand

Respect *

We respect everyone’s viewpoint and life choice.

I understand

It's OK to pass *

We have the right to speak and the right to stay silent.

I understand

Speak for yourself *

I understand

We speak from our own experience and don’t speak for others. Using “I” statements helps with this.

Equal time for all *

We speak one at a time and give everyone the chance to talk and don’t talk over one another or ‘take over’ the conversation. The facilitator may need to ‘mute’ members’ microphones to help make the conversation easier to hear.

I understand

Technology fails *

If you are disconnected during the online support group, please try to reconnect immediately or send the facilitator a text to let them know that you are okay. If the facilitator is disconnected they will endeavour to reconnect immediately. Failing this, the facilitator will contact group members by text and then attempt to finish conversations individually by phone.

I understand

Distress levels *

If you are feeling overwhelmed during the online support group, please let the facilitator know and an arrangement will be made for a private conversation.

I understand

Confirmation *

I agree to adhere to Breast Cancer Care WA’s Online Support Group Rules of Engagement.

I agree

Online Support Group Registration