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* 1. Name (optional)

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* 2. Email (optional)

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* 3. Campus

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* 4. Course/Programme Name

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* 5. Current year of study

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* 6. Course/Programme Code

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* 7. How have you been impacted?

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* 8. If you have had classes cancelled please estimate how much teaching time you have missed during this period of strike action:

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* 9. Please add any additional comments on your experience over the strike period:

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