SIOPE Survey 2016-2017 Contact Information Question Title * 1. Surname and Name: Question Title * 2. Country: Question Title * 3. Institition or Paediatric Haematology-Oncology Society/Group Question Title * 4. E-Mail: Question Title * 5. Profession Paediatric Oncologist / Haematologist (please indicate your specialty in the field "Other") Paediatrician Oncologist Paediatric Nurse Psychologist - Psycho-social Support Specialist Radiation Oncologist Radiologist Surgeon Epidemiologist Researcher / University Professor / Lecturer Adult Oncologist / Haematologist Parent / Patient / Survivor Advocate Other (please specify) Question Title * 6. Age 18 - 29 30 - 44 45 - 59 60+ Question Title * 7. Gender Female Male Question Title * 8. Are you member of SIOPE? Yes No Next