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ACRIN 6689 Imaging Sub-study Survey
1.
Please provide your contact information.
Name:
Site:
Email Address:
Phone Number:
2.
Please indicate your level of interest in working with imaging investigators to carry out the imaging sub-study ACRIN 6689.
Very interested
Somewhat interested
Not interested
Don't know at this time
Other (please specify)
3.
Please provide the contact information, if known, for a potential MRI investigator who ACRIN could contact about activating the imaging substudy.
Name:
E-mail Address:
4.
Please provide the contact information, if known, for a PET physician who ACRIN could contact about activating the imaging substudy.
Name:
E-mail Address:
5.
Please provide any comments any additional comments you may have about the imaging substudy.
Thank you for your time. Should you have any questions about the imaging substudy, please contact:
Bernadine Dunning; bdunning@acr-arrs.org
OR
Heather Homick; hhomick@acr-arrs.org