Step 2: Complete the Pre-Activity Survey

Complete the Pre-Activity Survey

PRE

Email Address:

Please answer the following questions:

	Strongly Disagree	Disagree	Agree	Strongly Agree
I know when transplant is a treatment option for children with ALL	I know when transplant is a treatment option for children with ALL Strongly Disagree	I know when transplant is a treatment option for children with ALL Disagree	I know when transplant is a treatment option for children with ALL Agree	I know when transplant is a treatment option for children with ALL Strongly Agree
I know how transplants are performed	I know how transplants are performed Strongly Disagree	I know how transplants are performed Disagree	I know how transplants are performed Agree	I know how transplants are performed Strongly Agree
I know how transplants work to treat ALL	I know how transplants work to treat ALL Strongly Disagree	I know how transplants work to treat ALL Disagree	I know how transplants work to treat ALL Agree	I know how transplants work to treat ALL Strongly Agree
I am knowledgeable about additional novel therapies used to treat children with ALL	I am knowledgeable about additional novel therapies used to treat children with ALL Strongly Disagree	I am knowledgeable about additional novel therapies used to treat children with ALL Disagree	I am knowledgeable about additional novel therapies used to treat children with ALL Agree	I am knowledgeable about additional novel therapies used to treat children with ALL Strongly Agree
I know the importance of continued care for children with ALL	I know the importance of continued care for children with ALL Strongly Disagree	I know the importance of continued care for children with ALL Disagree	I know the importance of continued care for children with ALL Agree	I know the importance of continued care for children with ALL Strongly Agree

Are you a healthcare professional

Yes
No

Phone