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Ask the Expert: Acral Melanoma: Insights From Research and Real Life
We Want to Hear From You!
Please complete this post-survey to help the MRF better serve the melanoma community!
1.
First Name
2.
Last Name
*
3.
Before attending this webinar, how would you rate your knowledge of today’s topic?
(Required.)
1 = No knowledge
2 = Limited knowledge
3 = Moderate knowledge
4 = Good knowledge
5 = Excellent knowledge
*
4.
After attending this webinar, how would you rate your knowledge of today’s topic?
(Required.)
1 = No knowledge
2 = Limited knowledge
3 = Moderate knowledge
4 = Good knowledge
5 = Excellent knowledge
*
5.
Please share your connection to melanoma (select all that apply).
(Required.)
Cutaneous melanoma stages 0-1
Cutaneous melanoma stage 2
Cutaneous melanoma stage 3
Cutaneous melanoma stage 4
Primary Ocular Melanoma
Metastatic Ocular Melanoma
Acral Melanoma
Mucosal Melanoma
Pediatric Melanoma
AYA (Adolescent and Young Adult) Melanoma
Family/Caregiver/Friend of patient
Medical Professional
Industry Representative
Other (please specify)
None of the above
*
6.
Please provide an overall evaluation of today's program
(Required.)
Poor
Fair
Neutral
Good
Excellent
Poor
Fair
Neutral
Good
Excellent
*
7.
Please provide additional feedback regarding the speaker(s).
(Required.)
8.
Please provide any topics you would like to be discussed at future events.
9.
Please provide any final comments
10.
If you would like to be added to the MRF's monthly e-newsletter, please provide your name and email address.
Name
Email Address
11.
Are you interested in learning more about making a financial contribution to the MRF?
(If yes, a member of our Philanthropy team will reach out to you).
Yes
No
Not at this time
12.
Are you interested in getting involved with advocacy in your local community or Washington, DC? (
If yes, a member of our Advocacy team will reach out to you
).
Yes
No
Not at this time
