NeuroSask: Active and Connected Registration

Thank you for your interest in our NeuroSask program.

Please help us tailor our program by answering the 4 following questions (optional).

Please provide your email to receive the weekly link needed to join each session (link will be sent from neurosask@gmail.com)

Question Title

1. Do you have

Multiple sclerosis

Parkinson's

Spinal cord injury

Other (please specify)

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2. Do you identify as

Female

Male

Other

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3. Are you

Less than 20 years old

20-39

40-59

60+

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4. Where do you live

Alberta

British Columbia

Manitoba

New Brunswick

Newfoundland and Labrador

Nova Scotia

Ontario

Prince Edward Island

Quebec

Saskatchewan

Other

Question Title

5. Please enter your email address to receive zoom links from neurosask@usask.ca

Question Title

6. I acknowledge and understand that I am participating in a general educational program. I am not being provided medical advice or any treatment. I am participating voluntarily and at my own risk. (Required.)

Yes

Question Title

* 1. Do you have

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* 2. Do you identify as

Question Title

* 3. Are you

Question Title

* 4. Where do you live

Question Title

* 5. Please enter your email address to receive zoom links from neurosask@usask.ca

Question Title

* 6. I acknowledge and understand that I am participating in a general educational program. I am not being provided medical advice or any treatment. I am participating voluntarily and at my own risk. (Required.)

1. Do you have

2. Do you identify as

3. Are you

4. Where do you live

5. Please enter your email address to receive zoom links from neurosask@usask.ca

6. I acknowledge and understand that I am participating in a general educational program. I am not being provided medical advice or any treatment. I am participating voluntarily and at my own risk. (Required.)