JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RSVP Focus on Mental Health Conference 2023
Feel free to contact us with any questions on mentalhealthconference.tz@gmail.com
* Indicates required question
Email
*
Your email
Will you attend the conference?
*
Yes, I will be present on both November 3rd and 4th!
Yes, I'll be there on the first day only, November 3rd
Yes, I'll be there on the second day only, November 4th
Sorry, can't make it
Other:
What is your full name? (in the order first name, second name, last/family name)
*
Your answer
Email
*
Your answer
What is the insitution you work for (for example a university or NGO)
*
Your answer
What is your function within this insititution (for example director or medical doctor)
*
Your answer
Will you be needing a letter of invitation (please note that the information from this form will be used for this)
*
Yes
No
Would you like to give a presentation at the conference?
*
Yes, a presentation (30 minutes)
Yes, a workshop (up to 90 minutes)
No, attendance only
If yes, topic?
Psychiatry of the future
Somatic illness (including HIV/AIDS)
Partners or other caregivers
Medication
Recovery
Suicidal thoughts or behaviors
Psychiatry and philosophy
Other:
If yes, please post your abstract here (format: introduction, methods, results, conclusion)
Your answer
How did you hear about this event?
Email
Friend
Website
Other:
Clear selection
Comments and/or questions
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
