CDC MVB Mesothelioma Survey

Thank you for participating. This is a survey for mesothelioma researchers to determine their requirements for a well characterized and annotated tissue resource. The results of the survey will guide development of the biospecimen repository and related information services supported by the Centers for Disease Control and Prevention’s Mesothelioma Virtual Bank (MVB) infrastructure. Please follow the instructions and answer these questions carefully. There are 21 questions and a section for comments; it should take less than 15 minutes to complete. All responses will be kept confidential. Thank you for your cooperation.

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A. Researcher Information
5) Please indicate the percentage of your work time spent in the following activities:
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6) Please mark the category that best describes you with the number 1.
If more than one category is applicable, mark the next most appropriate with the number 2, and so on.
B. Tissue Requirements
Specify the name(s) of tissue bank(s)
Please rate your need for each of the following requirements by selecting the corresponding need.
Not neededWould be likely neededEssential
By anatomic site(s)
By normal or pathological
By specific disease(s)
By primary or metastatic
By matched normal tissue from the same patient
By specific treatment(s) performed on patient (eg. radiation or chemotherapy etc.)
By tissue sources (eg. surgical or autopsy etc.)
By patient limitations (eg. age, race, gender or other limiting characteristics)
By amount of tissue(s) (minimum to maximum size or dimension)
By total number of specimens needed
By specimen preparation and preservation methods (fresh,frozen, or paraffin fixed archival tissue etc.)
Other, please specify
Check all that apply.
Check all that apply.
Check all that apply.
C. Tissue Associated Data Requirements
Please rate your need for each of the following requirements by selecting the corresponding need.
Not neededWould likely to be usefulEssential
Patient’s Demographic Information
Patient’s Epidemiologic Information
Patient’s (specimen) Pathology Information
Patient’s Vital Status
Patient Clinical Summary
Patient Family History Data
Patient’s other Laboratory Data
Patient Progression or Outcomes Data
Protein or Gene Expression Data
Tissue Processing Protocols
Other (Please Specify)
D. Tissue Microarray Reqiuirements
Check all that apply.
E. General Comments