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Uncommon and Rare Digestive and Liver Cancers Survey

We designed this survey to understand your experiences and opinions on life with uncommon and rare digestive and liver cancers. This includes:
  • gastric (stomach)
  • gastric esophageal junction (GEJ)
  • esophageal (e.g., adenocarcinoma, squamous cell carcinoma, other rare type)
  • liver (hepatocellular carcinoma)
  • bile duct (including cholangiocarcinoma)
  • gallbladder
  • anal/rectal

We will use this information anonymously and in aggregate to shape future programming and to inform community members, healthcare professionals, and health policy decision-makers.

This survey is open to those who are 16 years of age or older. Caregivers are welcome to complete the survey on behalf of the person with the experience. It takes approximately 20 minutes to complete.

We appreciate you providing your time and opinions to complete this survey. After completing this survey, you can enter a draw to win one of three $100 CAD e-transfer prizes, for those in Canada only.

We will keep all your information confidential and will never share it or sell it to any outside party. Your name and address will be detached from your answers before we analyze the survey.
Demographics
1.Are you a patient or a caregiver? If you are a caregiver, please answer the rest of the questions from the perspective of the person who has had digestive or liver cancer.(Required.)
2.What is your age in years?(Required.)
3.What is your sex?(Required.)
4.How do you identify your race, ethnicity, or cultural background? Select all that apply.(Required.)
5.Do you currently identify with any of these historically marginalized communities?(Required.)
6.What is your gross family income?(Required.)
7.In which country do you live?(Required.)
8.If you live in Canada, in which province or territory do you live?(Required.)