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Name
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Last
Email
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What is your role related to skin conditions? Select all that apply.
Patient
Caregiver (family or friends who provide support to people who live or lived with skin conditions)
Physician
Nurse
Other healthcare provider
Researcher in skin-related field
How much of your typical work week do you spend conducting skin-related research?
*
0%
1% - 20%
21% - 40%
41% - 60%
61% - 80%
81% - 99%
100%
Which workshop are you interested in attending?
*
Basal cell carcinoma - Saturday, November 27, 2021 (12:00pm-3:00pm EST)
Chronic Wounds - Sunday, November 28, 2021 (12:00pm-3:00pm EST)
Squamous cell carcinoma - Saturday, December 04, 2021 (12:00pm-3:00pm EST)
Scars - - Sunday, December 05, 2021 (12:00pm-3:00pm EST)
Merkel cell carcinoma - - Saturday, January 22, 2021 (12:00pm-3:00pm EST)