Clinical skills of medical workforce - survey

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* 1. Name

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* 2. You can contact me on...

Email Address

Phone Number

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* 3. Grade of doctor

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* 4. Number of years since qualification...

0 - 3 years

4 - 6 years

7 - 10 years

More than 10 years

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* 5. I can speak the following languages fluently (tick all that apply)...

Hindi

Urdu

Panjabi

Polish

Mandarin

Russian

Romanian

Farsi

Arabic

French

German

Spanish

None

Other (please specify)