Application form

Not Selected
I work exclusively in palliative care
The majority of my work is palliative care but I also look after other patient populations
The majority of my work practice is not palliative care but I occasionally provide palliative care
Other  

Not Selected
Retirement home/community
Home care
Primary care
Long-Term Care
Hospital in-patient
Hospital out-patient
Palliative care unit
Hospice
Other  

Less than two years
Two to five years
Six or more years
Not applicable

Region

Province

Setting
Not Selected
Urban
Suburban
Rural (including small towns)
Remote
Other  

Less than two years
Two to five years
Six or more years
Not applicable
If applicable, describe your experience:   

Yes
No
Plan on attending a course soon