We are a branch of a larger market research company, whose goal is to make contact with as many people diagnosed or caregiver in the treatment of Pancreatic Cancer. We will be looking to reach out to those who show interest in the form of online surveys and telephone discussions to understand the needs of patients.

All information collected during the surveys or phone discussions are completely confidential in that your name or other identifying information will not be shown to our clients.

* 1. Which of the following best describes you:

* 2. Patient age?

* 3. The current stage of Pancreatic Cancer is:

* 4. Which of the following treatments have you/patient initiated?

* 5. Please provide contact information. Name & Phone are not required but requested.

Thank you very much for taking the time to fill out this short questionnaire. We are collecting basic information to match individuals with specific survey requirements in order to invite qualified participation