1. Who are you?

Hospital-based registrar
Central registry-based registrar
Other (please describe):

2. How many years of experience in cancer registry?

Less than 6 months
6 months to 1 year
1 to 3 years
3 to 5 years
5 to 10 years
10 years plus

3. What did you think of this module?  

Please use a scale from 1 to 6 where 1 is poor and 6 is excellent.

1       2       3       4       5       6

4. Would you be likely to recommend this module to others?

Yes       No

5. How likely are you to revisit this module ?

Not likely       Likely       Very likely

6. Please provide any suggestions or comments about the module. Feel free to offer any constructive criticism or suggestions how to make this module suit your needs.

Your Name:

Your E-mail Address (required):