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* 1. Please enter your contact information.

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* 2. Please select the choice that fits you best (check all that apply).

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* 3. If you indicated that you are a survivor-patient and wish to share your diagnosis, please select from the list below.

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* 4. Please rate the following potential network benefits that you would you find most valuable.

  Not valuable Limited value Neutral Valuable Very Valuable
Members-only survivor/advocate community where there are regular series of discussion groups
Complimentary admission to IGCS Annual Global Meetings
Access to a survivor/advocate member directory
Access to education targeted to surgeons, gynecologic oncologists, and other healthcare professionals treating and researching gynecologic cancers
IGCS support for you or your organization to host an advocacy network event (in-person or virtual)
Access to special interest groups (for example, focused on global health equity or community-based research)

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* 5. Aside from the benefits listed above, are there other potential network benefits you would be interested in IGCAN providing to its members? Please explain.

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* 6. Would you be interested in facilitating our advocacy initiatives or programs? If so, in what capacity?

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* 7. What other comments or suggestions do you have related to the development of an IGCS global advocacy network?

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* 8. Are you involved with any other advocacy organizations?

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* 9. If you work or volunteer with other advocacy organization(s), please elaborate on your role.

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* 10. If you work or volunteer with other advocacy organization(s), please tell us the name of the organization(s) and their web address. One of our goals is to link advocacy organizations together across the globe.

Thank you for completing this survey. We will share updates soon.

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