1. Time for Men to Speak Up

Speak Up Against Cancer is Albion in the Community's cancer awareness project in Brighton and Hove.  We need your help to find ways to make it easier to reach men with important health messages. Completing this survey will automatically enter you into a prize draw to win a £30 Seagulls Store voucher.

Terms and conditions:
To enter the Prize Draw you must be over 16 years old. You are providing your information to Albion in the Community (AITC) which will be used by AITC in accordance with its Data Protection Policy.  Entries must be submitted by 9 am on Tuesday 14 February 2017 and the winner will be announced in the week commencing Monday 20 February 2017. The competition is not open to employees of AITC or employees of any of its group or associated companies.

If successful, we will contact you by telephone or email.  The winner will be selected at random by AITC and this decision is final. Entrants accept that, if they win, AITC will have the right, without additional payment or permission, to use their name, age, town of residence and likeness for the purposes of announcing the winner of this competition and for related promotional purposes.

The personal information you provide only will be used by Albion in the Community and will not be disclosed to any third parties.


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* 1. I agree to the terms and conditions of the Prize Draw

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* 2. AITC would like to send you information about events, products and services from time to time.  Are you happy to receive such information?

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* 3. How old are you?

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* 4. Contact details

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* 5. What is your gender?

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* 6. How would you describe your ethnic origin?

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* 7. Have you had a health concern in the last 12 months? For example an ache or pain that didn't go away after a few weeks.

 
25% of survey complete.

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