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* 3. GP Practice (if applicable)

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* 5. Please provide your details:

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* 6. Email address:

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* 7. Twitter handle (for NHS NWLA activity updates)

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* 8. Please select all the leadership development opportunities that you are interested in:

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* 9. If we were to commission further leadership development opportunities; which would you be interested in?

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* 10. Additional comments

Thank you for expressing interest in these sessions, you will be invited to book when dates of the opportunities are secured.

Please click 'Done' to complete the survey.

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