Global Point Prevalence Survey on Antimicrobial Use and Resistance

Dear Professor, Doctor, Sir, Madame,

First of all we would like to thank you for showing interest in participating in the GLOBAL-PPS. 

In order to optimize the process of organization we need to gather some background information. For this reason may we kindly ask you to complete this form if you wish to sign up for the next Global-PPS. By filling out this survey, you agree on receiving all updates, newsletters and other communications on a regular basis.

Mandatory questions are marked with *

We are looking forward to work on this with you !
Best wishes from the Global-PPS team.

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* 1. Name of the Coordinator who will conduct the Global-PPS (First name + Surname)

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* 2. Position, title of the Coordinator

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* 3. Name of the institution or hospital

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* 4. Address

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* 5. City

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* 7. E-mail address

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* 8. Extra email adresses of persons who will be invloved for the Global-PPS

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* 10. Will you be responsible for data collection using an existing network of hospitals?

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