PETs and NETs

Please share your experiences (all questions are optional and anonymous)

The Unicorn Foundation is hoping to determine how many Australian NET patients are currently being charged or not charged for their Gallium PET scans. Information you provide is anonymous and de-identified, however, is invaluable in helping us advocate for greater access for all NET patients to this vital service at no charge.

Question Title

* 1. Where is your primary tumour?

Small Bowel

Pancreas

Lung

Pheo/Para

Unknown

Other (please specify)

Question Title

* 2. Are you a public or private patient

Public

Private

Other (please specify)

Question Title

* 3. Have you paid for a Gallium 68 PET scan in last 12 months?

Yes

Comment

Question Title

* 4. If yes, how much were you out of pocket (per scan)?

Less than $100

$100 - $500

$500- $1000

Greater than $1000

PETs and NETs

Please share your experiences (all questions are optional and anonymous)

Question Title

* 1. Where is your primary tumour?

Question Title

* 2. Are you a public or private patient

Question Title

* 3. Have you paid for a Gallium 68 PET scan in last 12 months?

Question Title

* 4. If yes, how much were you out of pocket (per scan)?

Question Title

* 5. Where was the scan performed? (e.g. Public hospital, private hospital, private radiology clinic etc.)

Question Title

* 6. Name of doctor who ordered the scan

Question Title

* 7. Your postcode

Question Title

* 8. Thank you for your feedback. Is there anything else you would like to add?