Call Push Shock session questionnaire

Call Push Shock session questionnaire

Date of Call Push Shock session
Before today have you ever performed CPR?

The Department of Government Services (DGS) collects your personal information on behalf of [DEPT/ORG] and discloses that information to [DEPT/ORG] for the purpose of [XX]. If you choose not to provide all or part of the information required, we may not be able to contact you or action your request.

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