"Back of a Napkin" – Project Request
The objective of this quick-fill project request form is to generate ideas from physicians based in Kootenay Boundary for projects that will help improve health care in our region.

All ideas are welcome!
Where are you based?
What's your idea?
Your answer
What will it address?
Your answer
Who will it involve?
Your answer
Your Name
Your answer
What is the best way for us to get in touch with you to discuss this idea?
Your answer
Never submit passwords through Google Forms.
This form was created inside of InspireCommunity. Report Abuse