Feedback
The Greater Washington Partnership for Palliative and End-of-Life Care
Greater Washington Partnership Feedback Form
We want your feedback!  The Partnership's goal is to expand understanding and
knowledge of palliative and end-of-life care in the Greater Washington region.  How you
think we're doing is important to us.  Please provide us with your comments:
What would you like to tell us?
OPTIONAL.  If you would like to provide feedback about specific programs and/or
activities, please select all that apply and enter your feedback in the textbox below:
Professional Education Committee
E-Newsletter
Public Education Committee
Speakers Bureau
Public Policy Committee
Listservs
CareFirst BlueCross BlueShield
Palliative Care Awards
Video
ELNEC Training
Comfort Care Order Training
Other, please specify:
OPTIONAL.  Is the Partnership meeting your needs?  If not, how could we improve?  
OPTIONAL. Are there any services or programs that we are not currently offering
that you would be of interest to you or that would be helpful for you?
OPTIONAL. Are there any services or programs that we are not currently offering
that would encourage you to volunteer for the Partnership?
OPTIONAL.  Follow up.
I would like someone from the Partnership to follow up with me about the
feedback that I have provided.
Name:
Preferred method of contact:
Email address:
Telephone number:
The Greater Washington
Partnership for Palliative
and End-of-Life Care:



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Information:






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