Introduction
1. What is your name?
Name
Daniel Saurine
2. Which of the following categories best describes you?
Please select one item
(Required)
Radio button:
Ticked
Individual - consumer
Radio button:
Unticked
Individual - community pharmacist (employee)
Radio button:
Unticked
Individual - community pharmacy owner
Radio button:
Unticked
Individual - consultant pharmacist
Radio button:
Unticked
Individual - pharmacy employee (non-pharmacist)
Radio button:
Unticked
Individual - hospital pharmacist
Radio button:
Unticked
Individual - other health professional
Radio button:
Unticked
Individual - retired pharmacist
Radio button:
Unticked
Organisation - Consumer
Radio button:
Unticked
Organisation - Pharmacy Representative Body
Radio button:
Unticked
Organisation - Commercial Pharmacy Group
Radio button:
Unticked
Organisation - Pharmaceutical Wholesaler
Radio button:
Unticked
Organisation - Medicines Industry
Radio button:
Unticked
Organisation - Chemotherapy Compounder
Radio button:
Unticked
Organisation - Other Commercial Entity
Radio button:
Unticked
Organisation - Other Health Professional
Radio button:
Unticked
Organisation - Hospital
Radio button:
Unticked
Government Entity
Radio button:
Unticked
Other