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Intake questionnaire

Lung-MAP: A Master Screening Protocol for Previously-Treated Non-Small Cell Lung Cancer

Applying to Vince Lombardi Cancer Clinic-Two Rivers · Two Rivers, Wisconsin

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

0 of 4 answered

1. Are you 18 years old or older?
2. Have you been diagnosed with Previously Treated Non-Small Cell Lung Cancer?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Two Rivers for study visits?