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Intake questionnaire

Evaluating the Addition of Adjuvant Chemotherapy to Ovarian Function Suppression Plus Endocrine Therapy in Premenopausal Patients With pN0-1, ER-Positive/HER2-Negative Breast Cancer and an Oncotype Recurrence Score Less Than or Equal to 25

Applying to ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital · Toledo, Ohio

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

0 of 5 answered

1. Are you between 18 and 60 years old?
2. Do you identify as female?
3. Have you been diagnosed with Breast Cancer?
4. Are you currently pregnant or breastfeeding?
5. Are you able to travel to Toledo for study visits?