Global Effort to Prevent Stroke

Full Name / Institution Name:

Your Medical Specialty and Position / Title:

Cardiologist

Family Doctor

General Practitione

Other

Position / Title:

Your Region and Country:

Email Address:

Phone Number (including country code):

Do you have experience organizing or participating in medical screening
or preventive health campaigns?

Yes

No

What types of public health activities have you previously conducted?

Blood pressure measurement

ECG screening

Diabetes screening

Educational talks

Other

Would you be interested in helping to organize events as part of this
international screening program?

Yes, with support from Montex Swiss AG

Yes, on a volunteer basis

I'm not sure yet and would like more information

Do you have any suggestions or specific conditions for collaboration:

Has your country previously implemented national or regional screening programs
for hypertension and/or atrial fibrillation? If so, were you involved in them?