Reader Survey

Please complete the reader survey below by February 6, 2018 and win a chance to have a $500 charitable donation made in your name! For details / rules please click here.

Name:
Email Address:
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Which Patient Resource Cancer Guide publications have you received? Select all that apply






















Which of the following are you?





Which of the following best describes you?




With which cancer were you or your family member diagnosed?

If diagnosed with more than one cancer please select other.



 

What was your age when you were first diagnosed?

Which are you?

Have you enrolled in a clinical trial or will you consider enrolling in a clinical trial?

Would you like to be considered for one of the following?

Have you discussed things you have read in one of the Patient Resource Cancer Guide publications with your doctor?

Have your decisions about cancer treatment options changed because of something you read in one of the Patient Resource Cancer Guide publications?

Have you decided to enroll in a clinical trial because of something you read in one of the Patient Resource Cancer Guide publications?

What do you do with the Patient Resource Cancer Guide publications when you are finished reading them?


What information or type of article would you like to see in the Patient Resource Cancer Guide publications in the future?

For you the patient, what do you consider to be the most important topics covered in Patient Resource Cancer Guide publications?

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