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You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

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What is your current speciality and sub speciality
   
 
 
 
Please indicate any medical condition or clinical situation that you have a special interest or expertise with
   
 
 
 
Peer Nominations
 
 
 
Please Provide the names of any specialist at UHN that you would go and see and for what conditions
 
 
 
UHN Specialist [ please provide name / speciality]
   
Specialist in ontario [ Please provide /speciality/location]
   
Specialist in rest of canada [please provide name /speciality and location]
   
International Specialist [please provide name /speciality and location]
   
 
 
PLease vote on the following MD [ this is a test to see if this could be working
I would not refer to the specialist I would refer to the specialist I would see this specialist if I was sick myself N/A
dr a / cardiology
dr b / cancer
dr c / diabetes