Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. E-mail

Question Title

* 4. Which team are you a member of? (several answers possible)

Question Title

* 5. If you are a member of a HOST-team : What is the name of your Hospital Network?

Question Title

* 6. If you are a member of an IPC/AMS team: What is the name of your Hospital?

Question Title

* 7. If you are neither of the options above: What is the name of your organization?

Question Title

* 8. What is your profile?

Question Title

* 9. INAMI/RIZIV number (only for doctors)

Question Title

* 10. During the breakout sessions, we will begin shaping recommendations, and your insights are essential. Could you please indicate which topics you personally would like to focus on for discussion? (several answers possible)

Question Title

* 11. In which language(s) are you able to participate in these discussions?

Question Title

* 12. Lunch will be provided during the day. Do you prefer a vegetarian option, non-vegetarian, or have no preference?

T