Registration Form: Health & Climate Rapid Response Media Workshop (CA, NV)
Hi! 

Please fill out this form if you are interested and available to attend the Health & Climate Rapid Response Media & Messaging workshop from 5:00 PM PT - 6:30 PM PT on Thursday, September 29, 2022. 

You can reach out to Anna Chen (achen@burness.com) if you have any questions. 
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Name *
Email *
Title *
Do you see patients currently?  *
What state/territory do you live in? *
On a scale of 1-10, how comfortable are you speaking with media? *
Least comfortable
Most comfortable
Have you done media interviews where you've talked about health and climate in the past? *
If so, were the interviews for print, radio, or television? *
Are there specific health harms from climate change that you speak about often (e.g., heat stroke, Lyme disease, asthma, etc.)? *
Are you interested in future training opportunities? *
Are there any particular challenges you hope this training will address?
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