Tools Language: English - English English - English Français - French You have completed % of this survey % Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Language: English - English Français - French Change the language default Heart Valve Screening Clinic - Pakenham - July 16 2025 Please complete this following form ONCE (per person) to confirm your interest in participating in the clinic Please complete all questions until you get to the screen saying 'COMPLETE" There is a progress bar to give you an idea of how many questions are left *All information received will be kept confidential in the Centre for Valvular Heart Disease (CVHD) department and will only be used for the purposes of registration.* Next
