Palliative Care ECHO
*
indicates required
Name:
Email:
Comment:
Email Address
*
First Name
*
Last Name
*
Position
*
Institution
*
Country
*
Occupation
*
General medical doctor
Specialist doctor
Community nurse
Primary care nurse
Specialist nurse
Psychologist
Nutritionist
Social Worker
Community health Worker
Pharmacist
Physical Therapists
Chaplain
Other
Occupation (if other)
Indicate which if you answered "other" in the previous question / Indique cuál si contestó "otra" en la pregunta anterior
Working in Palliative Care
*
Yes
No
Is your work directly related with palliative care? / ¿Su trabajo está directamente relacionada con cuidados paliativos?