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Veteran's Survey
Veterans Survey
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Next Steps: Install the Survey Add-On
This form requires the Gravity Forms Survey Add-On. Important: Delete this tip before you publish the form.
Do you or someone you know currently have prostate cancer?
(Required)
Yes
No
How important do you think it is for the VA to consider offering new, FDA-approved treatments like theranostics for Veterans with prostate cancer?
(Required)
Very Important
Somewhat Important
Neutral
Not Very Important
Not Important At All
Would you like to receive moer information about Theranostics?
(Required)
Yes
No
Email
Open Comments
Δ
Veterans Survey
Hidden
Next Steps: Install the Survey Add-On
This form requires the Gravity Forms Survey Add-On. Important: Delete this tip before you publish the form.
Do you or someone you know currently have prostate cancer?
(Required)
Yes
No
How important do you think it is for the VA to consider offering new, FDA-approved treatments like theranostics for Veterans with prostate cancer?
(Required)
Very Important
Somewhat Important
Neutral
Not Very Important
Not Important At All
Would you like to receive moer information about Theranostics?
(Required)
Yes
No
Email
Open Comments
Δ
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