For new Parkinson's contestants who wish to participate in an apprenticeship and accompaniment project

If you are interested in being accompanied by a companion, fill out the questionnaire at the bottom of this page.

For more information, you can call the hotline  054-6125043

Thank you for your cooperation

Questionnaire for trainee

"*" Mandatory field inductor

First step - private information

Name*
MM slash DD slash YYYY

Second step - to what extent are you interested in expanding your knowledge on the following topics?

(Values: 5 very high 4 high 3 reasonable 2 medium 1 very low)

third part

What are the daily challenges associated with Parkinson's disease that you face?

Circle for the benefit of the Parkinson's Association in Israel

About 5 NIS monthly donation average

For every purchase with your credit card, the amount of the purchase will be rounded to the nearest shekel and those shekels will be transferred to the donation.

For example: did you buy for NIS 78.60? You paid 79 NIS, donated 40 cents!