1	How did you first learn of Imaginis? Informational email Doctor's recommendation Search engine Website/blog link Other, please specify

2	What is your gender? Female Male

3	What is your age? 18-29 30-49 50-64 65+

4	What level of education did you complete? High school Some college College graduate Graduate school

5	What is your annual household income? $25-49,999 $50-74,999 $75-99,999 $100-149,999 $150,000+

6	Have you (or a friend/family member) been diagnosed with cancer? Yes No

7	If you answered "yes" above, what is your relationship with the cancer patient? I am the cancer patient My spouse is the cancer patient A friend is the cancer patient A family member is the cancer patient I am a healthcare professional Other, Please Specify

8	If you or a friend/family member has been diagnosed with cancer, how recent was the diagnosis? In the past 30 days In the past three months In the past six months In the past year

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