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Complete the Pre-Activity Survey
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Email Address
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Please answer the following questions:
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Strongly Disagree
Disagree
Agree
Strongly Agree
I know how secondary acute myeloid leukemia is diagnosed
I know how secondary acute myeloid leukemia is diagnosed Strongly Disagree
I know how secondary acute myeloid leukemia is diagnosed Disagree
I know how secondary acute myeloid leukemia is diagnosed Agree
I know how secondary acute myeloid leukemia is diagnosed Strongly Agree
I am knowledgeable about the treatment options for secondary AML
I am knowledgeable about the treatment options for secondary AML Strongly Disagree
I am knowledgeable about the treatment options for secondary AML Disagree
I am knowledgeable about the treatment options for secondary AML Agree
I am knowledgeable about the treatment options for secondary AML Strongly Agree
I know how to manage treatment side effects
I know how to manage treatment side effects Strongly Disagree
I know how to manage treatment side effects Disagree
I know how to manage treatment side effects Agree
I know how to manage treatment side effects Strongly Agree
Are you a healthcare professional?
*
Yes
No
Please answer the following questions:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I plan to educate my patients/caregivers about questions to ask regarding treatment for Secondary AML
I plan to educate my patients/caregivers about questions to ask regarding treatment for Secondary AML Strongly Disagree
I plan to educate my patients/caregivers about questions to ask regarding treatment for Secondary AML Disagree
I plan to educate my patients/caregivers about questions to ask regarding treatment for Secondary AML Neutral
I plan to educate my patients/caregivers about questions to ask regarding treatment for Secondary AML Agree
I plan to educate my patients/caregivers about questions to ask regarding treatment for Secondary AML Strongly Agree
I plan to discuss clinical trials with patients and caregivers
I plan to discuss clinical trials with patients and caregivers Strongly Disagree
I plan to discuss clinical trials with patients and caregivers Disagree
I plan to discuss clinical trials with patients and caregivers Neutral
I plan to discuss clinical trials with patients and caregivers Agree
I plan to discuss clinical trials with patients and caregivers Strongly Agree
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