Patient Advocacy & Survivorship Survey 2019

Greetings! The AACR Office of Science Policy and Government Affairs requests your feedback in a brief survey related to advocacy & survivorship. Your participation in this survey will help us identify survivorship topics that will be addressed in the Survivor & Patient Advocacy Program. We look forward to your feedback. Thank you for your participation.

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* 1. Demographics

City/Town

State/Province

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* 2. Please check the descriptions below that correspond to the racial/ethnic groups which you most identify with. Check all that apply.

African American /Black

Asian

Hispanic / Latino

American Indian / Alaska Native

White

Mixed Race

If the above options don't apply, please state your ethnic description.

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* 3. Are you a cancer survivor?

Yes

If yes, what was your cancer type?