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DIPG WARRIORS
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Secured
Survio
1
First name and first initial of last name of warrior
2
How old was your child at diagnosis?
3
How old was your child when passed?
If child is still fighting please state that down below
4
Gender of child with DIPG?
Select one or more answers
Male
Female
Prefer not to say
5
When did you notice signs and what were those signs?
6
What trials did you do? If any were offered
Which hospitals
7
Did you do radiation?
Select one or more answers
Yes
No
8
How many rounds of treatments or radiations?
9
What medications were or is your child on?
10
Did your child get the Covid shot or had Covid?
Submit