Pathway Map Feedback

Complete this short survey to let us know how you use the pathway maps.

How do you primarily use the information in the pathway maps?

» Please describe "Other"

Which best describes you?

» Please describe "Other"

May we contact you if we want to follow up on your feedback?

Yes

» Please provide your email address

By entering your name and email address, you agree that Cancer Care Ontario, acting as an institution under the Freedom of Information and Protection of Privacy Act (FIPPA), may collect this personal information for the purpose of following up on your feedback. For more information about this collection, please contact: Manager, Disease Pathway Management Cancer Care Ontario 620 University Avenue, 15th Floor Toronto, ON M5G 2L7 1-855-460-2647

Leave this field blank

CAPTCHA

Cette question sert à vérifier si vous êtes un visiteur humain ou non afin d'éviter les soumissions de pourriel (spam) automatisées.