PEP Online – User Registration

"*" indicates required fields

Name
Password*
Strength indicator
I am a (check all that apply)*
I am completing this program because I want to (check all that apply)*
How long have you been providing care to individuals with Parkinson’s disease?*
How did you hear of PEP?*
How many hours per month do you spend providing caregiving duties to individuals with Parkinson’s disease*
When it comes to my understanding of Parkinson’s disease, I consider myself an*
What is the level of physical burden associated with your caregiving duties (specific to PD)*
What is the level of emotional burden associated with your caregiving duties (specific to PD)*
What is the level of impact on your physical/emotional health as a result of providing care to individuals with Parkinson’s disease?*