The purpose of this survey is to learn about your experience with Advancing Health Equity Through Cancer Information and Support Services: Report on underserved communities.  

We collect your personal information through this and other forms to learn more about who is reading and using our report learnings. We may share your personal information with third parties including service providers, consultants and advisors outside your province of residence or outside of Canada only to carry out the purposes identified above, or as required by law. You have the right to withdraw your consent to the use or communication of your information at any time. We may contact you by mail, email, phone or text. You can exercise your right to access your information or have it rectified, or unsubscribe from communications by calling 1-888-939-3333 or emailing policy@cancer.ca. For more information about our privacy practices, visit cancer.ca/privacy. Any identifying contact information that is collected will be separated from the survey responses.   

If you have any questions, please email policy@cancer.ca.  

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* 1. How do you identify? Check all that apply

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* 2. If you belong to an organization, please share:

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* 3. Do you intend to read the full report or part of the report?

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* 4. Do you intend to use the findings from this report in the next 3 months? 

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* 5. Do you intend to use the findings from this report in the longer term (after 3 months)?

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* 6. Do you want to connect with CCS to collaborate on work related to communities that are underserved? If so, please include your name, organization and email and someone from CCS will reach out to you.

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* 7. Please provide any final comments about the report. 

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* 8. Sign up to complete a follow-up survey by including your email below.

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