National Survey of Interest in Congenital Cardiothoracic Surgery (2020)

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

This form is completely anonymous and does not ask for your email or personally identifiable information.

What is your gender? *

Female

Male

Prefer not to say

Other:

What is your age group? *

<30

31-35

36-40

41-50

>50

Prefer not to say

Do you hold an NTN in Cardiothoracic Surgery? *

What year of training did you last complete? *

Which is your home deanery? *

Do you have a congenital cardiac surgery centre in your home deanery? *

Yes - optional placement

Yes - compulsory placement

Have you ever considered a career in congenital cardiac surgery? *

Yes

Have your colleagues ever discouraged you from pursuing an interest in congenital cardiac surgery? *

Yes

Clear form

Never submit passwords through Google Forms.

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