Post-Stroke Mood Changes: Exploring Anxiety and Depression

Please note: Participant seats are limited. Submitting this form does not confirm your registration. An email will be shared to confirm your registration at a later date.
1.First Name(Required.)
2.Last Name(Required.)
3.Email address(Required.)
4.Role(Required.)
5.Workplace/Organization(Required.)
6.Part of the continuum (e.g. acute, inpatient, outpatient, etc.)(Required.)
7.What percent of your time do you work in stroke care?
8.I have discussed and received approval for the time commitment required for this workshop with my Manager(Required.)
9.Please indicate any dietary restrictions