Shomer Shabbos Database
What is your name? *
Your answer
Where are you holding in your training? *
If you are a med student, resident, or fellow, please write what year you are.
For example, PGY-3, fellowship year 2, MS4...
Your answer
Which institution are you in? *
And what sort of specialty/subspecialty are you in, if applicable?
Your answer
What is the status of Shabbos? *
(This question is primarily for trainees. If in med school, click on SS guaranteed/friendly, as applicable. If an attending, please use the free text in the next question to discuss your training experience and shabbos)
Have you been in any other institutions?
If yes, can you please comment briefly what level in your training that was, and what your Shabbos situation was?
Your answer
Can we make your information available on the database, which is accessible to everyone on the network? *
Any other comments you'd like to share?
Your answer
What is your email address?
(This is for our personal records, and will not be shared without permission, per above)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service