Victorian Paediatric Oncology Consumer Registry

Help us to improve the experience and outcomes for children and adolescents with cancer and their families by joining The Victorian Paediatric Oncology Consumer Registry.

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* 1. Your full name

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* 2. Your email address

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* 3. I am interested in providing feedback by:

Participating in face-to-face group discussion (for example, focus groups)

Participating in video-conference group discussion

Participating in telephone interviews

Participating in face-to-face interviews

Completing online questionnaires or surveys

Completing mail-in questionnaires or surveys

Reviewing resources, documents and publications

Contributing to working groups or consumer forums

Sharing your experiences for education and training programs

Becoming a member of a committee

All the above

None of the above

Not sure but please ask me

Other (please specify)

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* 4. I would like to receive:

Information about new resources for children and families

Publications from the PICS and health services

The details of upcoming events for children and families

All of the above

None of the above

Other (please specify)