Registration for Virtual Restart A Heart Programme
Full name (as per NRIC)
Kindly provide your email address (if available) to receive email confirmation and reminder.
Select the training date that you'd like to attend
12 Jun 2021 (Sat), 10am to 11am
I would like to be contacted for other available training dates
What is your age range?
18 - 24
25 - 34
35 - 44
45 - 54
55 or above
Have you received any CPR+AED training before?
If yes, how long ago was your last training?
Less than 5 years
More than 5 years
Do you have any injuries on areas like knee, back or wrist? Or any other health conditions that stop you from practising chest compressions?
Are you pregnant or suspect that you are pregnant?
Does your workplace own an AED ?
How did you hear about RESTART A HEART PROGRAMME (RAH)?
Singapore Heart Foundation Website
Singapore Heart Foundation's Current Donor
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service