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We would be very grateful if you could complete the survey below, in which we ask for details of the cancer activities you are or have been involved in over the past 3 years. These could either be in collaboration with your colleagues and organisations in low and middle income countries, or initiatives aimed at improving cancer outcomes in low and middle income countries, with a focus on clinical practice, research and/or education/training. Thank you for your time.

Please note that The Christie NHS Foundation Trust is the processor for data collected from this questionnaire.  Your data will be in line with the General Data Protection Regulations (GDPR) and UK GDPR (post Brexit).  You are advised to read the UKGCN Privacy Policy.

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* 1. Please enter your professional details below

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* 2. If you are happy for us to contact you for further details please tick here

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* 3. Are you a member of any other international organisations concerned with global cancer?

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* 4. Please provide a summary of the global clinical practice you are involved in, including the hospitals, institutions and/or global organisations involved 

Please tick all that apply

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* 5. Please provide details of the countries you are working in

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* 6. Please provide details of the funding body for your clinical practice project, if appropriate

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* 7. If any other organisations from either the UK or other countries are involved in these projects please provide details below.

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* 8. Please provide a summary of the global research you are involved in, including the hospitals, institutions and/or global organisations involved 

Please tick all that apply

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* 9. Please provide details of the countries you are working in

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* 10. Please provide details of funding body for your research, if appropriate

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* 11. If any other organisations from either the UK or other countries are involved in these projects please provide details below.

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* 12. Please provide a summary of the global education & training you are involved in, including the hospitals, institutions and/or global organisations involved (if not covered in above responses)

Please tick all that apply

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* 13. Please provide details of the countries you are working in

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* 14. Please provide details of funding body for your education & training project, if appropriate

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* 15. If any other organisations from either the UK or other countries are involved in these projects please provide details below

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* 16. Are you involved in any other relevant work (e.g. speaking in high income countries on the subject). Please add details of activity below

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* 17. I confirm that I have read and agreed to the terms of the UKGCN Privacy Agreement

Thank you for completing this survey,  your time is much appreciated.

This information will be available to UKGCN members and will lead to greater coordination and partnership working in our global cancer programmes.

To keep up to date on the work of the UK Global Cancer Network please follow us on our social media channels

LinkedIn - https://www.linkedin.com/company/uk-global-cancer-network
Twitter - @UKGlobalCancer

If you have any questions or would like to find out more,  please contact us at UKGCN1@GMAIL.COM
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