Question Title

* 1. How old are you?

Question Title

* 2. What gender do you identify most with?

Question Title

* 3. What is your region of origin?

Question Title

* 4. What type of institution are you currently affiliated with/working at?
Please also indicate the name of your institution in the field below.

Question Title

* 5. Which of the following best describes your job/role?

Question Title

* 6. What neurological conditions do you have a special interest in/expertise on?

Question Title

* 7. What types of articles would you be most interested in reading on the WNFO Blog?
Please choose a maximum of 3 answers.

Question Title

* 8. What topics would you like to learn about most and be covered on the WNFO Blog?
Please choose a maximum of 3 answers.

Question Title

* 9. The WNFO Blog regularly features individuals, institutions and programs that are doing remarkable work in global neurology. Is there anybody you would recommend we reach out to?

Question Title

* 10. Do you have any additional questions and/or concerns for us?

T