Expression of Interest: Med-SMART PPIE Panel

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in the Med-SMART Public and Patient Involvement and Engagement Panel.

Med-SMART is a research project at RCSI University of Medicine and Health Sciences about how doctors and medical teams are organised in Irish hospitals, and how this may affect patient care, communication, access, safety, quality and public trust.

This form will only collect your information so the research team can get in touch with you with more information about the Med-SMART research project. Completing this form does not mean you are required to take part.

1. Your name

2.Your email address *

3.Have experience of using health services in Ireland?

Yes

Other:

Clear selection

4. Are you interested in hearing more about the Med-SMART PPIE Panel?

Yes

I would like more information before deciding

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms