Age

Under 2020-3535-5050-6565+

I am

MaleFemale

This event is especially for general members of the public, adults, pet owners so we can hear your views. Health Champions/Health Volunteer/Patient Representative are also welcomed.

Are you a Health Champion/Health Volunteer/Patient Representative?

YesNo

Are you a Nurse, Doctor, Pharmacist or Dentist?

YesNo

Are you a Healthcare Student (Nursing, Medicine, Veterinary Medicine, Pharmacy or Dentistry?)

YesNo

Other, if other please specify

Additional guests (please give Title, First name and Surname for each additional guest)

Name of institution/organisation

Please mark the box(es) of the workshop(s) you wish to attend

Wednesday 28 September 2016, Manchester

 

Yes, I would be happy to receive information from BSAC and Public Health England