Patient involvement in EORTC Gynaecological Cancer Group

Dear patient partner,

If you would like to express your interest and contribute your ideas to the research conducted by the EORTC Gynaecological Cancer Group, please complete the form below.

Thank you very much!

Sincerely yours,

Iryna

EORTC Patient Relationship Manager

iryna.shakhnenko@eortc.org

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* 1. Your title

Mrs

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* 2. Your name and last name

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* 3. Country of residence

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* 4. E-mail address

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* 5. Have you had any personal experience of clinical trials or cancer research projects?

Yes

Other (please specify)

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* 6. Are you familiar with the clinical trial process?

Yes

Other (please specify)

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* 7. Do you represent or are affiliated with any patient organisation?

Yes (please specify)

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* 8. Your comments, questions, or suggestions

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* 9. I hereby give EORTC my consent to process my personal data for the purpose of participation in the activities of the EORTC Group of Patient Partners.
Our privacy policy: https://www.eortc.org/privacy-policy/

Yes

Patient involvement in EORTC Gynaecological Cancer Group

Question Title

* 1. Your title

Question Title

* 2. Your name and last name

Question Title

* 3. Country of residence

Question Title

* 4. E-mail address

Question Title

* 5. Have you had any personal experience of clinical trials or cancer research projects?

Question Title

* 6. Are you familiar with the clinical trial process?

Question Title

* 7. Do you represent or are affiliated with any patient organisation?

Question Title

* 8. Your comments, questions, or suggestions

Question Title

* 9. I hereby give EORTC my consent to process my personal data for the purpose of participation in the activities of the EORTC Group of Patient Partners.Our privacy policy: https://www.eortc.org/privacy-policy/

* 9. I hereby give EORTC my consent to process my personal data for the purpose of participation in the activities of the EORTC Group of Patient Partners.
Our privacy policy: https://www.eortc.org/privacy-policy/