[wpforms id="23856" title="false" description="false"]
<div class="wpforms-container wpforms-container-full survey_form" id="wpforms-23856"><form id="wpforms-form-23856" class="wpforms-validate wpforms-form" data-formid="23856" method="post" enctype="multipart/form-data" action="/podcast/prepare-transport-costas-kanaris-dftb19/"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-field-container"><div id="wpforms-23856-field_8-container" class="wpforms-field wpforms-field-radio work_mainly wpforms-conditional-trigger" data-field-id="8"><label class="wpforms-field-label" for="wpforms-23856-field_8">1. In the last 6 months, is your work mainly:</label><ul id="wpforms-23856-field_8"><li class="choice-1 depth-1"><input type="radio" id="wpforms-23856-field_8_1" name="wpforms[fields][8]" value="Emergency" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_8_1">Emergency</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-23856-field_8_2" name="wpforms[fields][8]" value="Paediatric Emergency" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_8_2">Paediatric Emergency</label></li><li class="choice-3 depth-1"><input type="radio" id="wpforms-23856-field_8_3" name="wpforms[fields][8]" value="Paediatrics" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_8_3">Paediatrics</label></li><li class="choice-4 depth-1"><input type="radio" id="wpforms-23856-field_8_4" name="wpforms[fields][8]" value="Other" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_8_4">Other</label></li></ul></div><div id="wpforms-23856-field_14-container" class="wpforms-field wpforms-field-text more_info wpforms-conditional-field wpforms-conditional-show" data-field-id="14" style="display:none;"><label class="wpforms-field-label" for="wpforms-23856-field_14">Please provide more info</label><input type="text" id="wpforms-23856-field_14" class="wpforms-field-medium" name="wpforms[fields][14]" ></div><div id="wpforms-23856-field_10-container" class="wpforms-field wpforms-field-radio mostly_access wpforms-conditional-trigger" data-field-id="10"><label class="wpforms-field-label" for="wpforms-23856-field_10">2. Where do you most frequently you access DFTB?</label><ul id="wpforms-23856-field_10"><li class="choice-1 depth-1"><input type="radio" id="wpforms-23856-field_10_1" name="wpforms[fields][10]" value="At home" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_10_1">At home</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-23856-field_10_2" name="wpforms[fields][10]" value="At work" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_10_2">At work</label></li><li class="choice-3 depth-1"><input type="radio" id="wpforms-23856-field_10_3" name="wpforms[fields][10]" value="Commuting" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_10_3">Commuting</label></li><li class="choice-4 depth-1"><input type="radio" id="wpforms-23856-field_10_4" name="wpforms[fields][10]" value="Other" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_10_4">Other</label></li></ul></div><div id="wpforms-23856-field_16-container" class="wpforms-field wpforms-field-text more_info2 wpforms-conditional-field wpforms-conditional-show" data-field-id="16" style="display:none;"><label class="wpforms-field-label" for="wpforms-23856-field_16">Please provide more info (copy)</label><input type="text" id="wpforms-23856-field_16" class="wpforms-field-medium" name="wpforms[fields][16]" ></div><div id="wpforms-23856-field_12-container" class="wpforms-field wpforms-field-checkbox main_reason wpforms-conditional-trigger" data-field-id="12"><label class="wpforms-field-label" for="wpforms-23856-field_12">3. What's the main reason you access DFTB?</label><ul id="wpforms-23856-field_12"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-23856-field_12_1" name="wpforms[fields][12][]" value="I cannot find the answer to this stuff anywhere else" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_1">I cannot find the answer to this stuff anywhere else</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-23856-field_12_2" name="wpforms[fields][12][]" value="To answer a specific clinical question" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_2">To answer a specific clinical question</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-23856-field_12_3" name="wpforms[fields][12][]" value="Analysis of the latest research" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_3">Analysis of the latest research</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-23856-field_12_4" name="wpforms[fields][12][]" value="To study for my college exam" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_4">To study for my college exam</label></li><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-23856-field_12_5" name="wpforms[fields][12][]" value="Variety of content" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_5">Variety of content</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-23856-field_12_6" name="wpforms[fields][12][]" value="DFTB is a valued and trusted resource" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_6">DFTB is a valued and trusted resource</label></li><li class="choice-7 depth-1"><input type="checkbox" id="wpforms-23856-field_12_7" name="wpforms[fields][12][]" value="The link seemed interesting, so I clicked it!" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_7">The link seemed interesting, so I clicked it!</label></li><li class="choice-8 depth-1"><input type="checkbox" id="wpforms-23856-field_12_8" name="wpforms[fields][12][]" value="Other" ><label class="wpforms-field-label-inline" for="wpforms-23856-field_12_8">Other</label></li></ul></div><div id="wpforms-23856-field_15-container" class="wpforms-field wpforms-field-text single_line wpforms-conditional-field wpforms-conditional-show" data-field-id="15" style="display:none;"><label class="wpforms-field-label" for="wpforms-23856-field_15">Single Line Text</label><input type="text" id="wpforms-23856-field_15" class="wpforms-field-medium" name="wpforms[fields][15]" ></div><div id="wpforms-23856-field_13-container" class="wpforms-field wpforms-field-net_promoter_score how_likely" data-field-id="13"><label class="wpforms-field-label" for="wpforms-23856-field_13">4. How likely are you to recommend DFTB to a peer/colleague?</label>
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<span class="not-likely">Not at all Likely</span>
<span class="extremely-likely">Extremely Likely</span>
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<td><input type="radio" id="wpforms-23856-field_13_0" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="0" ><label for="wpforms-23856-field_13_0">0</label></td><td><input type="radio" id="wpforms-23856-field_13_1" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="1" ><label for="wpforms-23856-field_13_1">1</label></td><td><input type="radio" id="wpforms-23856-field_13_2" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="2" ><label for="wpforms-23856-field_13_2">2</label></td><td><input type="radio" id="wpforms-23856-field_13_3" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="3" ><label for="wpforms-23856-field_13_3">3</label></td><td><input type="radio" id="wpforms-23856-field_13_4" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="4" ><label for="wpforms-23856-field_13_4">4</label></td><td><input type="radio" id="wpforms-23856-field_13_5" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="5" ><label for="wpforms-23856-field_13_5">5</label></td><td><input type="radio" id="wpforms-23856-field_13_6" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="6" ><label for="wpforms-23856-field_13_6">6</label></td><td><input type="radio" id="wpforms-23856-field_13_7" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="7" ><label for="wpforms-23856-field_13_7">7</label></td><td><input type="radio" id="wpforms-23856-field_13_8" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="8" ><label for="wpforms-23856-field_13_8">8</label></td><td><input type="radio" id="wpforms-23856-field_13_9" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="9" ><label for="wpforms-23856-field_13_9">9</label></td><td><input type="radio" id="wpforms-23856-field_13_10" class="wpforms-screen-reader-element wpforms-net-promoter-score-option" name="wpforms[fields][13]" value="10" ><label for="wpforms-23856-field_13_10">10</label></td> </tr>
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</div><div id="wpforms-23856-field_4-container" class="wpforms-field wpforms-field-textarea more_about" data-field-id="4"><label class="wpforms-field-label" for="wpforms-23856-field_4">5. I'd really love to see more about...</label><textarea id="wpforms-23856-field_4" class="wpforms-field-small" name="wpforms[fields][4]" ></textarea></div></div><div class="wpforms-field wpforms-field-hp"><label for="wpforms-23856-field-hp" class="wpforms-field-label">Email</label><input type="text" name="wpforms[hp]" id="wpforms-23856-field-hp" class="wpforms-field-medium"></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="23856"><input type="hidden" name="wpforms[author]" value="27"><input type="hidden" name="wpforms[post_id]" value="22721"><button type="submit" name="wpforms[submit]" class="wpforms-submit om-trigger-conversion" id="wpforms-submit-23856" value="wpforms-submit" aria-live="assertive" data-alt-text="Sending..." data-submit-text="Submit">Submit</button></div></form></div> <!-- .wpforms-container -->
Excellent talk with robust explanation of choice of treatment in line with the pathology. Thank you Kostas
Excellent talk with robust explanation of choice of treatment in line with the pathology. Thank you Costas