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* 1. Name

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* 2. Email Address

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* 3. I am participating in this session to (please click all that apply)

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* 4. Please indicate what % of your practice is devoted to the following cancers:

  <25% 26-50% 51-75% >75%
Lymphoma
Leukemia
Multiple Myeloma
Other

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* 5. I attended the actual EHA congress (live or virtual), that this Roundtable is based on

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* 6. By submitting this form, I consent to my answers being anonymized and aggregated by OncologyEducation and shared with faculty and sponsors to demonstrate the learning effectiveness of this roundtable session

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