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Survey for Breast Cancer: Remission
Please fill out the following survey. If the question is not open-ended, an “other” option is provided if you would like to add any additional thoughts or details. You can choose more than one option for checkboxes. Please answer each question to the best of your ability. Please be as detailed as possible. Thank you. For any questions, please email
MolloyResearch2020@gmail.com
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* Indicates required question
Please certify that the person taking this survey is a woman, is 18 years old or above, is living in New York, USA, and is a breast cancer survivor or in remission. If you do not meet these qualifications, please exit the survey.
*
Yes
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What is your race?
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Hispanic or Latino
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Other:
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