Call Push Shock session questionnaire

Step 1 of 4

Call Push Shock session

Date of Call Push Shock sessions(Required)

Day

Month

Year

The Department of Government Services (DGS) collects your personal information on behalf of Ambulance Victoria and discloses that information to Ambulance Victoria for the purpose of assessing Call Push Shock sessions.

If you have any questions about how your personal information will be handled or would like to gain access to your personal information, you can contact Ambulance Victoria.

We're using the services of Drupal 9 to administer this form. The information that you provide is stored by The Department of Government Services (DGS) on the Microsoft Azure infrastructure in Sydney, Australia.

For more information on our handling of any personal information, please refer to our privacy page.

I have read and understand how Department of Government Services stores information. (Required)

date test

Day

Month

Year

Step 2 of 4

Performing CPR

Before today have you ever performed CPR?(Required)

Yes

No

Before today's session how would you rate your confidence to perform CPR in an emergency?(Required)

Not confident

Pretty confident

Confident

After today's session how would you rate your confidence to perform CPR in an emergency?(Required)

Not confident

Pretty confident

Confident

Step 3 of 4

Using an AED

Before today have you ever used an AED?(Required)

Yes

No

Before today's session how would you rate your confidence to know when and how to use an AED?(Required)

Not confident

Pretty confident

Confident

After today's session how would you rate your confidence to know when and how to use an AED?(Required)

Not confident

Pretty confident

Confident

Progress

Call Push Shock session

Performing CPR

Using an AED

About you