Addressing Disparities in Cancer Clinical Trials Summit Survey

Question Title

* 1. What best describes your role?

Physician

Navigator

Clinical Trials Coordinator

Administrator

Healthcare Professional

Pharma Employee

Cancer Survivor

Other (please specify)

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* 2. How would you rate the overall summit?

Poor

Fair

Average

Good

Excellent

Poor

Fair

Average

Good

Excellent

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* 3. Select your rating for how much you agree with the statements below:

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
The summit was well organized.	The summit was well organized. Strongly Disagree	The summit was well organized. Disagree	The summit was well organized. Neither Agree or Disagree	The summit was well organized. Agree	The summit was well organized. Strongly Agree
I have learned something new from the summit.	I have learned something new from the summit. Strongly Disagree	I have learned something new from the summit. Disagree	I have learned something new from the summit. Neither Agree or Disagree	I have learned something new from the summit. Agree	I have learned something new from the summit. Strongly Agree
I learned information that I can apply to my professional work as soon as possible.	I learned information that I can apply to my professional work as soon as possible. Strongly Disagree	I learned information that I can apply to my professional work as soon as possible. Disagree	I learned information that I can apply to my professional work as soon as possible. Neither Agree or Disagree	I learned information that I can apply to my professional work as soon as possible. Agree	I learned information that I can apply to my professional work as soon as possible. Strongly Agree
I plan to advocate for policy change within my organization/department based on something I learned.	I plan to advocate for policy change within my organization/department based on something I learned. Strongly Disagree	I plan to advocate for policy change within my organization/department based on something I learned. Disagree	I plan to advocate for policy change within my organization/department based on something I learned. Neither Agree or Disagree	I plan to advocate for policy change within my organization/department based on something I learned. Agree	I plan to advocate for policy change within my organization/department based on something I learned. Strongly Agree
The information presented was appropriate for the audience.	The information presented was appropriate for the audience. Strongly Disagree	The information presented was appropriate for the audience. Disagree	The information presented was appropriate for the audience. Neither Agree or Disagree	The information presented was appropriate for the audience. Agree	The information presented was appropriate for the audience. Strongly Agree

Question Title

* 4. Please indicate your satisfaction with the following aspects of the event:

	Poor	Fair	Average	Good	Excellent
Venue/Location	Venue/Location Poor	Venue/Location Fair	Venue/Location Average	Venue/Location Good	Venue/Location Excellent
Speakers/Individual Presentations	Speakers/Individual Presentations Poor	Speakers/Individual Presentations Fair	Speakers/Individual Presentations Average	Speakers/Individual Presentations Good	Speakers/Individual Presentations Excellent
Breakout Sessions	Breakout Sessions Poor	Breakout Sessions Fair	Breakout Sessions Average	Breakout Sessions Good	Breakout Sessions Excellent
Number of Sessions Offered	Number of Sessions Offered Poor	Number of Sessions Offered Fair	Number of Sessions Offered Average	Number of Sessions Offered Good	Number of Sessions Offered Excellent
Timing of Sessions	Timing of Sessions Poor	Timing of Sessions Fair	Timing of Sessions Average	Timing of Sessions Good	Timing of Sessions Excellent
Date of Event	Date of Event Poor	Date of Event Fair	Date of Event Average	Date of Event Good	Date of Event Excellent

Please leave comments here.

Question Title

* 5. How do you plan to utilize the information learned in the summit?

Integrate it within my professional role.

Develop new procedures within my department.

Summarize my learnings for my colleagues.

Advocate for department or organizational policy change.

Engage other organizations for partnership

None

Other (please specify)

Addressing Disparities in Cancer Clinical Trials Summit

Question Title

* 1. What best describes your role?

Question Title

* 2. How would you rate the overall summit?

Question Title

* 3. Select your rating for how much you agree with the statements below:

Question Title

* 4. Please indicate your satisfaction with the following aspects of the event:

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* 5. How do you plan to utilize the information learned in the summit?

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* 6. What is a key takeaway from the summit that should be communicated to the public and policymakers?

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* 7. What was the most important thing that you learned from the summit?

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* 8. What, if anything, did you dislike about this event?

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* 9. Is there anything else you would like us to know?