SIMARD MD Feedback

This survey is designed to provide the Medically At-Risk Driver Centre with information on the SIMARD MD and how it can be improved to meet the needs of health care practitioners. Any suggestions are appreciated.

Feedback
Are you planning to use the SIMARD MD?

Would you like someone from the MARD centre to contact you regarding your feedback?

Contact Information
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Please enter your full email address (name@example.com)
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(xxx-xxx-xxxx)