This site is intended for members of the public, patients and their carers in the UK. The Cancer Insights Panel has been initiated, developed and funded by Pfizer Ltd. 

Application Form

  • Personal Information

  • Health Information

  • Passion & Experience

Full name

Email Address

Phone number

Region

What is your ethnicity?

Which gender do you most identify with?

Is your gender identity the same as the gender you were assigned at birth?

What is your sexual orientation?

Please indicate from the list which best describes your age group

What is your average annual household income before tax?

There will be 3 panel meetings over the next 6-9 months. Each meeting will be for 5 hours (including a break) during working hours (i.e. Monday to Friday 9am-5pm). Are there any days of the week you definitely cannot attend due to other commitments?

  • Personal Information

  • Health Information

  • Passion & Experience

The Equality Act 2010 defines a disabled person as 'someone who has physical or mental impairment which has a ‘substantial’ and ‘long-term’ adverse effect on his/her ability to carry out normal day to day activities.’

Other than cancer, do you consider yourself to have a disability (as defined by the Equality Act 2010)?

If you answered “yes” to the question above, please give more information below.

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  • Personal Information

  • Health Information

  • Passion & Experience

Please tell us why you think you’re a good fit to be on the Lung cancer Insights Panel (3000 characters maximum)

Is there something you are passionate about sharing? How do you think your personal experience might be valuable?

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By clicking “Submit Application” you confirm that you have read the Pfizer Privacy Notice available here, and agree to Pfizer processing your personal data for the purpose of an application to join the Pfizer Cancer Insights Panel in accordance with our Privacy Notice which is available here. If you have questions about our Privacy Notice, or if you would like to exercise any individual rights for example to review, correct, update, suppress, restrict or delete personal data that you have provided to us, or to opt out of any communications, please contact us at [email protected], or write to the following address: Pfizer Limited, Legal Department, Walton Oaks, Dorking Road, Tadworth, Surrey KT20 7NS

PP-UNP-GBR-11600 / March 2025

Do you have any questions about the Cancer Insights Panel?
​​​​​​​Please reach out to our team and we’d be happy to help.

Contact Us
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PP-UNP-GBR-8351 March 2024

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