Portland Healthcare Reform Panel Questionnaire
Thank you for your interest in single-payer health care reform. Your responses to this survey will help us plan future events.
How did you learn about this event?
Which of the participating organizations do you belong to?
Please use the box below to submit additional questions to the panelists before Sept. 30. Questions and answers will be posted to www.pnhporegon.org.
Would you like to join the Oregon PNHP email list and receive notices of future events?
Clear selection
Name
Profession and specialty
Zip code of residence
Email address
Submit
Never submit passwords through Google Forms.
This form was created inside of Physicians for a National Health Program.