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* 1. What are the main challenges that you are facing working in your community pharmacy that you need help with locally from the LPC?

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* 2. Tell us about any specific issues you would like raised for consideration at your next LPC meeting.

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* 3. How would you like your LPC to support you - for example with regards to service delivery?

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* 4. Do you have any other comments to make?

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* 5. Your name

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* 6. Your role

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* 7. Name of pharmacy

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* 8. Address of pharmacy

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* 9. Pharmacy postcode

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