Current ACNP Collaborators Survey 822C5839FE69466E81069774CCE17A5C First Name Surname Email Address Mobile Number Member Number Gender Prefer not to say Male Female Other Home Address Are you interested in continuing to collaborate with the ACNP? Yes - I consent to assisting with advocating on topics related to my area of expertise No, I no longer wish to collaborate (please submit survey to exit) State (location of work) ACT NT QLD VIC NSW WA SA TAS Region (location of work) Metropolitan Regional Remote Rural Current workplace: Public or Private, please specify Position Specialty Area of Practice: Meta Metaspecialty: Ageing and Palliative Care Child and Family Health Care Chronic and Complex Care Emergency and Acute Care Mental Health Care Primary Health Care Womens Health Other Specialty Area of Practice: Second Metaspecialty (If applicable): Ageing and Palliative Care Child and Family Health Care Chronic and Complex Care Emergency and Acute Care Mental Health Care Primary Health Care Womens Health Other Specialty Area of Practice: Third Metaspecialty (If applicable) Ageing and Palliative Care Child and Family Health Care Chronic and Complex Care Emergency and Acute Care Mental Health Care Primary Health Care Womens Health Other If you have selected 'other' on any of the above options, please specify here. Would you be willing to participate in a working group or committee if required? Yes No Do you have any suggestions for improving collaboration between ACNP and members Submit