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Early-onset colorectal cancer (EOCRC) can be affected by a variety of factors, including sociodemographic characteristics, the presence of comorbidities, lifestyle factors, and personal/family history of CRC. Evidence shows that EOCRC is often diagnosed at an advanced stage that may lead to worse survival outcomes. In particular, CRC/cancer risk perceptions is an important factor on intention to CRC screening, which may have potential to improve CRC outcomes through early detection. However, prior research examining risk perceptions primarily focuses on the larger geographic areas and/or screening eligible adults (50-74 age group). Unanswered questions remain within the small geographic areas and younger group (aged <50 years). Given that Augusta-Richmond County of Georgia has significant higher EOCRC mortality rates in comparison to the overall rate in Georgia, research retrospectively examining CRC risk perceptions on the evaluation of CRC outcomes by using EOCRC survivors? lived experiences is needed. We will disseminate a CRC/cancer risk perception survey to collect missing information from cancer survivors aged 18 -49 years. We will employ the following steps to assure conscientious recruitment of early onset CRC survivors who treated at Georgia Cancer Center.