Workplace chemotherapy exposures
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1. Default Section
1
. Have you handled chemotherapy, and if so, for how long?
Have you handled chemotherapy, and if so, for how long?
2
. What is/was your job?
What is/was your job?
3
. Have you had an adverse health outcome you attribute to work-related drug handling?
Have you had an adverse health outcome you attribute to work-related drug handling?
Yes
No
4
. Briefly describe your adverse health effect.
Briefly describe your adverse health effect.
5
. If there were a future study of workers who handle these drugs, would you want to be contacted to hear details and consider participation?
If there were a future study of workers who handle these drugs, would you want to be contacted to hear details and consider participation?
Yes
No
6
. Are you willing to be contacted by a reporter for potential follow-up stories?
Are you willing to be contacted by a reporter for potential follow-up stories?
Yes
No
7
. What is the best way to contact you?
What is the best way to contact you?
Phone
Email
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