Sony Foundation Australia : You Can Angels

You Can Angels

Supporting patients in the You Can Stay program

Sony Foundation has lots of supporters who would like to be a You Can Angel for you and your family during your stay, with random acts of kindness. We hope that you feel that you are not alone while away from home. If you are a carer or Parent of the patient, please fill out the below information in regards to the patient's interests. If you would like to remain the key contact, please include your email address.

Carer/Parent email address *

Which Quest are you staying at? *

What date are you checking out of Quest? (if you long term please provide the month) *

If you are a short stay and the delivery cannot arrive in time , please share your home address if its ok to send there *

Alternatively, if you anticipate returning to Quest for your next treatment, when will that be?

What are some of your/patient's favourite snack foods? *

What are some of your/patient's interests (sports, sports teams, music, TV, Movies, etc)? *

What would be a nice Random Act of Kindness to receive from your You Can Angel? (Please select as many as you like) *

Letter of support
Hamper of snack food
Video message
Activity to keep you occupied
Extra wifi data
Meal delivery voucher
Groceries/essentials
Something related to your hobbies/interests

Are you/Patient into Gaming?

I like to watch streamers on YouTube/Twitch
I like to play single player
I like to play online with friends
I play on my PC
I play on PlayStation/Xbox

Would you like the email address of the You Can Angel to thank them afterwards? *

yes
no

If you are comfortable, please share a little bit about you/patient and your situation.

Please check the box to consent with Sony Foundation passing on details shared in this form to the You Can Angel *

Yes

Sony Foundation Australia is a charity proudly registered with the ACNC

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