JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Story Campaign-Toolkit for Environmentally Sustainable Primary Care
:
A Physician-Led Initiative with the East Kootenay Division of Family Practice
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name:
*
Your answer
Your role:
*
Your answer
Your Institution/affiliations:
Your answer
Name and roles of others involved in your sustainability initiative:
Your answer
Your Story:
*
Your answer
Links to your work (journals, abstracts, data, webpage). If you have a photo or video file you would like to share, please send it to cascades@utoronto.ca.
Your answer
Please confirm that the above information can be shared publicly (
if "no" we will not publish in the story campaign but may reach out to seek permission to include in our toolkit
):
Yes
No
Other:
Your email address (will not be published):
*
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
