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* 1. First and last name

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* 2. Email address

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* 3. Post code

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* 4. Please provide a quote on the value that ADHD Richmond and Kingston has provided to you and your family. What the key features that you could not get elsewhere?

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* 5. Borough / Council of primary residence

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* 6. Please indicate which activities of ADHD Richmond and Kingston are of interest to you

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* 7. Enhancing our services. With regards to our seminars, we seem to have had a drop off of attendance. Please advise the reason if you have not attended

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* 8. Please provide topics or speakers that you may find helpful for future seminars

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* 10. Any other suggestions on how can we enhance the services we provide. Please specify your wish list.

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* 11. Making our offering more targeted requires us to know more about our families. Please provide more details on your children (note children’s names do not need to be provided)

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* 12. Thank you for completing the above members’ survey.  In accordance with our privacy policy the information gathered will be kept confidential within ADHD Richmond and Kingston and be used for future planning and funding.  Please indicate if you are happy for us to keep your personal data included under question 1 and 2 on our database - yes/no below. If no, you will be removed from our newsletter circulation list and the Facebook closed forum.

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