Demographic Information

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* 1. First Name

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* 2. Last Name

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* 3. Email address

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* 4. State/Province

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* 5. What is your primary place of employment or where do you primarily work?

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* 6. Are you a CTR?

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* 7. Do you abstract cases, assign AJCC stage, or perform quality control on AJCC staging?

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* 8. Do you work in or with a CoC accredited facility?

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