Form 1 Aging Survey

Cancer and Accelerated Aging Think Tank Evaluation: Measuring Aging and Identifying Aging
Phenotypes in Cancer Survivors, July 2018
OMB No.: 0925-0642

Expiration Date: 5/31/2020

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completed form to this address.

Please complete the following survey about the July 2018 think tank meeting.
1. Did you leave the think tank with valuable information that you can apply to advance your clinical
or research goals/aims?
To a large extent

To some extent

Not at all

2. Since the think tank, have you...
Thought about your own work differently?
To a large extent

To some extent

Not at all

Shifted your work in a different direction?
To a large extent

To some extent

Not at all

Conceptualized or written a grant application, or been part of a grant application, that contains or is based
on information or concepts learned in the think tank?
Yes
No

Authored or co-authored a manuscript (submitted or not yet submitted) based on information or concepts
learned in the think tank?
Yes
No

Conceptualized, conducted, or directed a data analysis based on information or concepts learned in the
think tank?
Yes
No

3. Have you contacted a presenter or other attendee from the think tankbecause of your
participation in the think tank?
Yes
No

4. Overall, how would you rate the think tank?
Excellent
Very good
Good
Average
Poor
Very poor

5. What else would you like us to know about your experience with the think tank, either about the
event itself or about work you have done in relation to it?

6. If NCI created a “Cancer and Accelerated Aging” webinar series, what topics would you like to
see presented? What speakers would you recommend or like to hear from?

7. What other directions or actions do you think NCI should take in relation to the Cancer and
Accelerated Aging initiative (e.g., another think tank)?