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What is your relationship to the person at-risk or living with lung cancer?

Please Select... Self Spouse Parent (biologic or adoptive) Legal Guardian Other Relative Other Non-relative Child

How did you hear about the Lung Cancer Registry?

Please Select... GO2 website GO2 HelpLine GO2 staff member GO2 email (e.g. Weekly Breather) Other website Online ad Social media Primary care doctor Treatment center Patient advocacy organization Other

If other, please specify

Do you want to receive communication from GO2 for Lung Cancer and the Lung Cancer Registry?

I'm over 18

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