National Pancreatic Cancer Roadmap

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Closes 30 Nov 2020

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:
(Required)
2. What is your name?
3. What is your email address?
If you enter your email address then you will automatically receive an acknowledgement email when you submit your response.
4. Where do you live?
5. Are you of Aboriginal or Torres Strait Islander origin?

Both Aboriginal and Torres Strait Islander ‘yes’ boxes can be marked.

(Required)
6. Select any other population groups you identify as being part of.
You can select more than one or leave unanswered if none apply.
7. What is your interest in pancreatic cancer?

Please select all that apply

(Required)
8. If you have a work-related interest in pancreatic cancer, what type of organisation do you work for?

Please select all that apply

(Required)
9. If you have a work-related interest in pancreatic cancer, please select any population groups your organisation represents or provides services for.
You can select more than one or leave unanswered if none apply.
10. Are you providing a formal response on behalf of an organisation?
(Required)