$225 PHONE INTERVIEW - Hospital CANCER Nurses/System Survivorship Program Representatives/Care Managers/Social Workers
ELITE MARKET RESEARCH TEAM is scheduling men and women to participate in a telephone interview. We need those that are directly involved in developing or operating patient programs which could include case management, advance care planning, survivorship programs and other management roles.

To see if you qualify answer the questions and submit them. We will contact you for scheduling. Thank you so much for your interest in participating.

Terri Ann Wells, Project Manager
800-737-5390 Ext. 137
www.elitemarketresearchteamnationwide.net

Email address *
Phone Number *
Your answer
City & State that you live in *
Your answer
FULL NAME (first & last) Capitalize the first letter of each... *
Your answer
S1. Which of the following best describes your current position? *
Required
S2. Are you directly involved in developing or operating patient programs which could include case management, advance care planning, or survivorship programs? *
2b. Please specify how you are directly involved in developing or operating patient programs. Exactly what is it that you do? *
Your answer
S3. How does your organization identify itself? *
S4. Are you involved in treating cancer patients and/or helping patients manage their cancer care journey? *
S5. Are you knowledgeable or aware of any cancer care planning programs or tools? *
S6. Have you ever used any of the following cancer care planning programs or tools? Please check the tools or programs that you have used before. *
Required
S7. Do you have a survivorship/care management program in your organization? *
S8. [If Yes in S7] Are you responsible for overseeing the survivorship/care management program in your organization? [IF NO in S7], please specify the role(s) or group(s) in your organization that OVERSEE the survivorship/care management program *
IF IT IS NOT YOU THAT OVERSEES IT WHO IS THAT PERSON? *
(IF YOU PUT NA)
Your answer
Who told you about this study or how did you learn about it? *
Your answer
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