Name *

First Name

Last Name

Phone

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Optional Survey for Parents/Patients regarding their Cancer journey

I'd like to collect data on ependymoma so that parents can make more informed decisions. (Disagree is on Left; Agree is on Right)

I would be interested in filling out some of these surveys.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I feel I've had enough information to make the best decisions for my child.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I have some ideas or information I'd like to share with you for this website.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree