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There is a need to understand the impact of COVID-19 on colorectal cancer care globally and determine drivers of variation. To evaluate COVID-19 impact on colorectal cancer services globally and identify predictors for behaviour change. An online survey of colorectal cancer service change globally in May and June 2020. Attending or consultant surgeons involved in the care of patients with colorectal cancer. Changes in the delivery of diagnostics (diagnostic endoscopy), imaging for staging, therapeutics and surgical technique in the mana