Special interest UIA Study Mission Question Title * 1. As you may know, each year UIA conducts several study missions to Israel. We are considering running "special interest" missions, commencing in 2018 with health professionals, and are interested in your views.Are you a health professional? Yes No Question Title * 2. Apart from health, what areas or activities might interest you enough to participate in a future UIA study mission. (You can tick more than one answer). General touring Culture eg museums, art galleries Culinary eg cooking classes Shopping eg factory outlets Other (please specify) Question Title * 3. I am a: General Practitioner Specialist Dentist Nurse Physiotherapist Pharmacist Other (please specify) Question Title * 4. Which of the following would you like to see included in a medical mission? Note there is no guarantee that a particular choice will be available. (You may tick more than 1 answer). Tour of hospital eg Sharaei Zedek or Hadassa Visit specialty clinic Visit research institute eg Technion, Weizman Tour of pharmaceutical company eg Teva Visit biotech company Meet local health experts Meet officials from Health Ministry Other (please specify) Question Title * 5. The 2018 UIA Medical Mission is tentatively planned to commence on Thursday April 12 (Yom Hashoah) and will conclude on Wednesday April 18, which is Yom Ha'atzmaut and in 2018 is the 70th anniversary of the founding of the State of Israel, so this will be an exciting time to be there. Pesach is March 31 - April 7, 2018 which gives participants the choice to spend Pesach in Israel prior to the mission, or come to Israel after Pesach. Without obligation, please indicate your interest in participating in this mission. I am definitely interested and will probably participate I am interested and might participate I would be interested but the dates don't suit me (add preferred dates below) It's too early for me to say I am definitely not interested Any other comments or suggestions? Question Title * 6. Depending on demand, we haven't planned for young children at this stage, but there will be a partner's program available. If participating, will you be accompanied by: (more than 1 answer permissible) My partner No one Age of any accompanying children Question Title * 7. Have you participated in a study mission previously? Yes - a UIA mission Yes - a mission with another group No Question Title * 8. Which year would better suit you for a UIA Medical Mission (assuming it is to take place in March/April)? 2018 2019 Question Title * 9. Please provide your details below, so that we may contact you should the mission go ahead, thank you. Name (required) Email (required) Contact number (optional) Done