JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Schedule a demo of DHIS2
Fill out this form to request a demonstration of DHIS2 for your proposed use case by a DHIS2 expert, or a meeting to discuss the needs of your project.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Last name
Your answer
Email
*
Your answer
Country
*
Which country (or countries, if several) are you considering using DHIS2 in? If you/your organization are operating from a different country, please indicate that as well.
Your answer
Organization
*
Your answer
Website of your organization (optional)
Your answer
Phone/WhatsApp number (optional)
Your answer
Preferred language
What language would you prefer to be contacted in?
English
French
Portuguese
Spanish
Arabic
Russian
Other:
Clear selection
What are you interested in using DHIS2 for?
*
Share details on your proposed use of DHIS2, such as what kind of information you want to manage, what the intended scale and scope of your project is, and any specific requirements.
Your answer
Indicate the domain of your DHIS2 project:
*
Health
Climate & Health
Logistics
Education
Other:
Which DHIS2 features / applications are you interested in? (select all that apply)
Aggregate data
Tracker / Event (individual-level data)
Android (mobile data capture)
Metadata packages
Custom applications
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of DHIS 2.
Report Abuse
Forms
