CancerCare Manitoba		  
 
 
Mucositis (Sore Mouth and Throat)

 

Patient & Family Support Services

Translated Cancer Treatment Information
Evaluation Survey
We would like to ask you a few short questions. This will assist us to understand who is using the information and how you plan to use this.
 

Please choose one category that best describes you:

Nurse Interpreter
Doctor Social Worker
Other. Please describe (optional):

I plan to use this information with (pick one or more):

Patient Family Colleagues
Other. Please describe (optional):

As a new resource, your feedback is very important to us.
Yes, you can contact me in the future. Email:
No thanks, I am not interested.
I have been to this site before and already answered these questions.



Thank you