Patient Involvement at EORTC Survey

1.Your title(Required.)

Mr

Ms

Mrs

Mx

2.Your name and last name(Required.)

3.Country of residence(Required.)

4.E-mail address (Required.)

5.You are a:(Required.)

Patient

Patient advocate

Caregiver

Other (please specify)

7.Have you ever participated in a clinical study or research projects?(Required.)

Yes

No

Other (please specify)

8.Are you familiar with how cancer research works?(Required.)

Yes

No

Other (please specify)

9.In what study stages and activities would you like to be involved?(Required.)

Research priorities and research questions

Protocol synopsis (describes the research idea and methodology)

Recruitment strategy, dropout-related issues

Patient information sheet & informed consent

Collaboration with a specific EORTC group (e.g Lung Cancer Group, Quality of Life Group, etc.)

Collaboration with the Independent Data Monitoring Committee (ensures the safety of patients in the trial)

Lay summary of study results

Dissemination of study results

Other (please specify)

10.Are you comfortable to provide your feedback in English?(Required.)

Yes

No

No, I only speak (please indicate what language)

11.Do you represent or are affiliated with any patient organisation?(Required.)

No

Yes (please specify)

12.Your comments, questions, or suggestions

13.I hereby give my consent for the processing of my personal data for the purpose of participating in the patient involvement activities of EORTC.
Our privacy policy: https://www.eortc.org/privacy-policy/(Required.)

Yes