Curriculum Module IV - Pre-education Quiz Demographic Information Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email address Question Title * 4. State/Province State/Province: Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist. Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Terr. Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Is. Puerto Rico Quebec Rhode Island Saskatchewen South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Question Title * 5. What is your primary place of employment or where do you primarily work? Hospital/Cancer Center Central Registry Standard-Setter Agency Software Vendor Question Title * 6. Are you a CTR? Yes No Question Title * 7. Do you abstract cases, assign AJCC stage, or perform quality control on AJCC staging? Yes No Question Title * 8. Do you work in or with a CoC accredited facility? Yes No Next