Exit this survey >> Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. Email Address: Question Title * 4. Membership Status: Regular Member Junior Member I am not currently a member Question Title * 5. Indicate your training background (check all that apply): Basic Science Neuropathy Inherited neuropathy Infectious disease Metabolic neuropathy Disease Mechanisms Inflammatory neuropathy Small fibre neuropathy Vasculitis If other, please describe: Question Title * 6. Indicate your current position (select all that apply) Student Resident Physician Scientist Professor Industry Professional If other, please describe: Question Title * 7. Indicate your area(s) of interest (select up to 4): Fundraising Education Communications Bylaws Junior Finance Scientific Programme International Relations Membership Guidelines Ethics Publications Question Title * 8. Please provide a summary of why you are interested in the area(s) you have selected: Question Title * 9. Please check if you have specific expertise in the following topics (pick as many as applicable) : Blogging and social media HTML coding and smart phone Application development Advocacy Webpage development E-publishing Media experience Guidelines experience Other If other, please describe: Question Title * 10. Please contact me, as I would like to donate to the Society: Yes, I would like to Donate No, not at this time Question Title * 11. Other skills or areas of expertise: Question Title * 12. Other comments: Thank you for your willingness to contribute to the success of PNS! Done >>
