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Intake questionnaire

ETHAN - ET for Male BC

Applying to Vanderbilt Cancer Center · Nashville, Tennessee

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

0 of 5 answered

1. Are you 18 years old or older?

YesNo

2. Do you identify as male?

YesNo

3. Have you been diagnosed with Male Breast Cancer?

YesNo

4. Are you currently pregnant or breastfeeding?

YesNo

5. Are you able to travel to Nashville for study visits?

YesNo

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Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you meet the criteria to participate. Results are based on the information you provide and are intended to help you start a conversation with the research team.

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