Please provide us with some information about you
What is your age?
What is your post code?
What is your profession?
General Practitioner
Other Medical Specialist
Nurse (Registered / Enrolled)
Pharmacist
How does the palliAGEDgp App relate to your care provision?
Please select those that are relevant.
I provide care in RAC
I provide care to home-based patients
I provide specialist palliative care
I provide care in hospitals
Other: Please specify
How did you
first
hear about the palliAGEDgp App?
Recommended by colleague
Newsletters or publications
Conference or presentation
Decision Assist website
Internet search
Unsure
Other - Please specify