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* 1. Please enter the name of the institution/organization you represent (individual contact details are optional):

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* 2. Type of institution (select all that apply):

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* 3. Select your area of expertise (select all that apply):

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* 4. Please identify the type of supportive care your institution/organization provides for patients with advanced cancer (select all that apply):

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* 5. If your institution/organization provides specialized psychological care, what is the nature of this care (select all that apply):

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* 6. How are psychosocial oncology services for patients with advanced cancer funded within your setting (select all that apply):

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* 7. Does your institution/organization conduct research on specialized psychological services for patients with advanced cancer?

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* 8. Have you heard about the Managing Cancer and Living Meaningfully (CALM) Program?

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* 9. If you answered yes to question 12, have you attended a CALM workshop?

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* 10. Based on the description of the CALM Program provided, do you think your institution/organization would be interested in (select all that apply):

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