Smiley Australia

ECT Survey Form:

This survey asks 24 questions about the benefits and shortcomings of ECT treatment.

If you close this page without clicking on the 'submit' button your survey will not be submitted.

To ensure we collect only genuine survey results you will be asked to supply a valid email address for survey verification.

You can print a copy of your completed form before clicking on the 'submit' button if you wish.

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