End of Life Law for Clinicians Workshop Question Title * 1. What is your name? Question Title * 2. What is your email? Question Title * 3. What is the best way to contact you by phone? Question Title * 4. What is your post code? Question Title * 5. What is your discipline? Medical Nursing Allied Health Chaplain Other Question Title * 6. What clinical unit do you work with? e.g. Emergency at Prince Charles Hospital Question Title * 7. Do you have any food allergies or dietary requirements? Yes No Question Title * 8. If you have food allergies / dietary requirements, please specify Question Title * 9. I agree to receive updates on the End of Life for Clinicians project Yes No Question Title * 10. I agree to receive updates on the QuoCCA project (education in paediatric palliative care) Yes No Done