ACP Day Survey 2023 General Information Question Title * 1. Your Name Question Title * 2. Email Address: Question Title * 3. Your Organization Name: Question Title * 4. What Health Authority area best describes where your organization is located? Fraser Health Interior Health Island Health Northern Health Vancouver Coastal Health Question Title * 5. Type of organization (please select the most relevant) Academic institution Disease support organization Faith-based organization Health Authority Hospice/palliative care society Neighbourhood house Other Community-based service organization Professional association Other (please specify) Question Title * 6. Is this the first year your organization has participated in the ACP Day campaign? Yes No, my organization has participated in previous ACP Day campaigns Unsure Next
