1. Default Section

* 1. Have you handled chemotherapy, and if so, for how long?

* 2. What is/was your job?

* 3. Have you had an adverse health outcome you attribute to work-related drug handling?

* 4. Briefly describe your adverse health effect.

* 5. If there were a future study of workers who handle these drugs, would you want to be contacted to hear details and consider participation?

* 6. Are you willing to be contacted by a reporter for potential follow-up stories?

* 7. What is the best way to contact you?

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