Join the study - Takeda DEI Study

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Older Latino/Hispanic couple looking at a tablet, Who Can Participate, colorectal cancer, stage 4, TAK-113-4002 Study

Before connecting you to the staff at a study clinic location near you, we need to ask a few questions. There are only 6 questions, and it should take less than a minute.

Step 1 of 6

16%

1. Are you 18 years of age or older?(Required)

For questions 1-5, “you” refers to the person who would be participating in the study.

2. Do you identify as Black/African American or Latino/Hispanic?(Required)

Other Race/Ethnicity

Select all that apply.

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

White

3. Do you have Stage 4 (metastatic) colorectal cancer? Metastatic means the cancer has spread.(Required)

4. Have you tried at least 2 different treatments for your Stage 4 colorectal cancer?(Required)

5. Do you have any of these conditions?(Required)

HIV infection

Kidney disease treated with dialysis

Stroke or transient ischemic attack (TIA) in the past 12 months

Heart attack or heart surgery in the past 6 months

Active infection requiring intravenous (IV) antibiotics

Past or present stomach ulcer or ulcerative colitis

Blood clot in past 6 months (such as in lungs, legs, or arteries)

None of the above

Not sure

Choose all that apply.

6. How did you learn about this study?(Required)

For question 6, “you” refers to the person answering these questions or the person who would be participating in the study.

My doctor told me about it.

I attended a community event.

I saw a poster.

I received a letter.

I saw it on social media.

Other

Not sure

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