About you
1. I consent to my response being published on the Department of Health website, and acknowledge that it will be publicly accessible, including to people overseas. My consent is given in accordance with the following preference:
Please select one item
(Required)
Publish my response, including my name and the name of my organisation (if relevant)
Ticked
Publish my response, without my name but include the name of my organisation (if relevant)
Publish my response without my name or the name of my organisation
I do not consent to my response being published on the Department of Health website. Do not publish my response
4. What is your postcode?
Postcode
(Required)
2000
6. What is your interest in lung cancer?
Please select all that apply
(Required)
I have / have had lung cancer
I have a family member/relative with lung cancer
I am a member of the public/general interest
I have a work-related interest in lung cancer - Health professional – primary care
I have a work-related interest in lung cancer - Health professional – specialist
I have a work-related interest in lung cancer - Health professional – allied health
I have a work-related interest in lung cancer - Researcher
Ticked
I have a work-related interest in lung cancer - Health policy/administration
Ticked
I have a work-related interest in lung cancer - Consumer advocacy/support
7. What is your organisation's name? (Optional)
Organisation
Cancer Council Australia
8. If you are representing an organisation, please indicate what type of organisation?
Please select all that apply
(Required)
Consumer organisation
Health or medical organisation (health professional)
Health or medical organisation (administration)
Research organisation
Government/government organisation
Ticked
Non-government organisation
Other
I do not represent an organisation