Pre-Launch Interest Form e-Care Anywhereinfo@e-careanywhere.ca Name * First Name Last Name Email * Organization name * What is your job function? * I want to receive ... * Email notifications as soon as the Telemental services are available Free educational content on the issue of humanitarian workers mental health and physical wellbeing Follow-up survey questions to help the e-Care Anywhere Team improve the solution I am interested in help with ... * Pre-departure preparedness with a focus on stress preparedness Strongly Disagree Disagree Neutral Agree Strongly Agree Access to Telemental health counselling during my mission Strongly Disagree Disagree Neutral Agree Strongly Agree Access to Telemental health counselling after my mission Strongly Disagree Disagree Neutral Agree Strongly Agree List of countries to which my humanitarian missions take me * Please list your questions below (Optional) Thank you!
