Please answer the nine questions below. Your answers will be published in the Y.U.O. annual member directory.

Question Title

* 1. Please opt in/out of inclusion in the directory (the directory will only be made available to Y.U.O./SUO members).

Question Title

* 2. What year did you start clinical practice?

Question Title

* 3. In my practice, I treat the following conditions (please mark all that apply):

Question Title

* 4. The following best describes my practice:

Question Title

* 5. I would be interested in collaborating on clinical projects/ clinical trials (please select all that apply).

  Have robust prospectively maintained database Have robust retrospective dataset Large patient volume/would open trial
Prostate Cancer
Bladder Cancer
Kidney Cancer
Testicular Cancer
Penile Cancer

Question Title

* 6. I am currently funded or have received the following funding and am willing to answer questions from other Y.U.O. members who may be applying for such funding:

Question Title

* 7. Please write your full name.

Question Title

* 8. Please write your email address.

Question Title

* 9. Is there any other information you would like to include about yourself in the Y.U.O. directory?

Thank you for your time.

T