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* 1. Please provide the following information:

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* 2. What is your phone number? (If you plan on dialing-in to access sound, please specify the phone number you will be calling from.)

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* 3. Which of the following best describes you?

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* 4. Are you transgender?

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* 5. What are your pronouns?

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* 6. Which of the following best represents your race/ethnicity? Please select all that apply.

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* 7. Do you / the patients you serve speak any language besides English fluently?

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* 8. If you answered Yes above:

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* 9. Have you yourself been diagnosed with cancer? If so, which type(s)?

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* 10. Cancer treatment status (if applicable):

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* 11. Please select all sessions you would like to register for

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* 12. Are you planning to request free continuing education credits (CEs/PDCs) or a general certificate of participation?

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