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Intake questionnaire

A Trial to Evaluate Ovarian Suppression Following Subcutaneous ZOLADEX 10.8 mg in Premenopausal Women With Early-stage and Advanced HR+ Breast Cancer

Applying to NorthShore University Health System - Evanston Hospital · Evanston, Illinois

Answer a few short questions to share with the research team.

0 of 4 answered

1. Are you between 18 and 55 years old?
2. Do you identify as female?
3. Have you been diagnosed with Advanced Breast Cancer?
4. Are you able to travel to Evanston for study visits?