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Your Personal Information

First name*

Last name

Contact Phone #

Contact email address

Name of the person requiring Care (Healthcare services)

Number

Address (country and city only)

Is a person requiring care aware and agree to receive healthcare services *

Sometimes people need a long preparation and explanation about assistnace they can receive even if they are hesitant at first.

How satisfied were you with the event?

What was the best part of the event?

The content

The people

The venue

The food

How relevant was it for you?

How convenient were the time & place?

Would you consider coming to future events?

Yes

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Regulated nursing services in British Columbia, Canada.

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This form should not be used for emergency questions and/or critical situations. Instead a Nurse may address it in one of the Q & A sessions.

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