Question Title

* 1. Please indicate which role best describes you:

Question Title

* 2. Contact information

Question Title

* 3. Do you consider your research as directly related to the field of cancer?

Question Title

* 4. Do you consider your research as indirectly related to the field of cancer, but with appropriate collaborations it could more directly align?

Question Title

* 5. Do you have an interest in education initiatives related to teaching (professional or lay) or other training in the field of cancer?

Question Title

* 6. What type of research do you perform? Please choose all that apply:

Question Title

* 7. Please provide several bullet points describing your cancer research interests:

Question Title

* 8. Please choose from the following disciplinary fields that describe your research interests (choose all that apply):

Question Title

* 9. Please provide up to 8 key words that describe your research interests (e.g. research topics and technologies). If you would like to use standard granting agency (e.g. CIHR, NSERC) key words please do so:

Question Title

* 10. If your research relates to specific disease site(s) please identify as applicable:

Question Title

* 11. Please list the types of research methods, animal models, cell lines, assays, compound libraries, analytic capabilities, core facilities or research units, equipment, infrastructures, resources, etc., that you employ in your cancer research:

Question Title

* 12. Please describe any bio-specimen and/or data repositories that you have access to for your cancer research (if applicable):

Question Title

* 13. Please describe in more detail your clinical trial interests, if applicable (e.g., Phase 1, 2, 3, etc; investigator initiated; industry sponsored; imaging; radiotherapy; etc):

Question Title

* 14. Please list the individuals with whom you collaborate on your cancer research (if applicable), including their institution (please cite local, national, and international collaborators):

Question Title

* 15. What are your expectations of a cancer research institute? Stated differently, what should a cancer research institute be able to provide/add to you and your research program?

Question Title

* 16. Please provide any additional comments that you wish to share:

Question Title

* 17. Would you like to be kept up to date on the cancer research initiative as it develops?

Thank you for taking the time to complete this survey.

T