Canadian Sai Medical Committee Survey
The Canadian Sai Medical Committee is looking for medical professionals and volunteers to assist with the organization of medical outreach, seva, educational and other medical projects across the country. We are looking to gather a database of individuals who would be interested in participating in such initiatives. If you would be interested in participating, please complete the survey below:
Name (first and last name): *
Your answer
Email address: *
Your answer
Phone Number (optional):
Your answer
What is your profession? *
Required
Additional details about your profession (eg. Cardiologist, Diabetes Nurse Educator, Rehabilitation Physiotherapist) *
Your answer
Roles: *
Required
What city do you live in? *
Your answer
What is your local Sai Centre (optional)?
Your answer
Which of the following social media/communication platforms are you comfortable with using(select all)? *
Required
Consent: *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Avinash.ca. Report Abuse - Terms of Service - Additional Terms