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?
We Can Do Better
National College of Natural Medicine
Oregon Physicians for Social Responsibility
Nurses for Single Payer
Oregon Medical Association
Oregon Public Health Association
Portland League of Women Voters
PSU & OHSU Institute for Healthcare Improvement (IHI) Open School Chapter
Please use the box below to submit additional questions to the panelists before Sept. 30. Questions and answers will be posted to
Would you like to join the Oregon PNHP email list and receive notices of future events?
Yes (provide information below)
Profession and specialty
Zip code of residence
Never submit passwords through Google Forms.
This form was created inside of Physicians for a National Health Program.
Terms of Service