West of England Genomic Medicine Centre

Question Title

* 3. In order to help us make the event a success please could you select one of the statements below which describes your background and experience with the 100,000 Genomes Programme:

Healthcare professional directly involved in the 100,000 Genomes Programme

Healthcare professional NOT currently directly involved in the 100,000 Genomes Programme

Member of the public involved in the 100,000 Genomes Programme

Member of the public NOT involved in the 100,000 Genomes Programme

Other (please specify)

Question Title

* 4. Which, if any, of the following organisations are you employed by or associated with?

Gloucestershire Hospitals NHS Foundation Trust

North Bristol NHS Trust

Royal United Hospitals Bath NHS Foundation Trust

University Hospitals Bristol NHS Foundation Trust

Weston Area Health Trust

Other (please specify)

Question Title

* 5. Please confirm if you are planning to attend both the morning, lunch and afternoon sessions. Please select all that apply:

Morning session - 10am until 12:30pm

Lunch - 12:30pm until 1:00pm

Afternoon workshop sessions - 1pm until 3pm

Question Title

* 6. In the afternoon several workshops will be available. Delegates will be able to attend 2 workshops. The workshops are listed below please can you rank the workshops in your order of preference (we will endeavour to ensure attendees are able to attend their preferred workshop):

	1st Choice	2nd Choice	3rd Choice	4th Choice	5th Choice	6th Choice
Developing clinical pathways and talking to rare disease patients about genomics	Developing clinical pathways and talking to rare disease patients about genomics 1st Choice	Developing clinical pathways and talking to rare disease patients about genomics 2nd Choice	Developing clinical pathways and talking to rare disease patients about genomics 3rd Choice	Developing clinical pathways and talking to rare disease patients about genomics 4th Choice	Developing clinical pathways and talking to rare disease patients about genomics 5th Choice	Developing clinical pathways and talking to rare disease patients about genomics 6th Choice
Cancer genomes; how to integrate them into clinical practice	Cancer genomes; how to integrate them into clinical practice 1st Choice	Cancer genomes; how to integrate them into clinical practice 2nd Choice	Cancer genomes; how to integrate them into clinical practice 3rd Choice	Cancer genomes; how to integrate them into clinical practice 4th Choice	Cancer genomes; how to integrate them into clinical practice 5th Choice	Cancer genomes; how to integrate them into clinical practice 6th Choice
Going forward together: where we are now with patient and public involvement and where we want to be next	Going forward together: where we are now with patient and public involvement and where we want to be next 1st Choice	Going forward together: where we are now with patient and public involvement and where we want to be next 2nd Choice	Going forward together: where we are now with patient and public involvement and where we want to be next 3rd Choice	Going forward together: where we are now with patient and public involvement and where we want to be next 4th Choice	Going forward together: where we are now with patient and public involvement and where we want to be next 5th Choice	Going forward together: where we are now with patient and public involvement and where we want to be next 6th Choice
Building the legacy of the Genomics project with an informed and educated workforce	Building the legacy of the Genomics project with an informed and educated workforce 1st Choice	Building the legacy of the Genomics project with an informed and educated workforce 2nd Choice	Building the legacy of the Genomics project with an informed and educated workforce 3rd Choice	Building the legacy of the Genomics project with an informed and educated workforce 4th Choice	Building the legacy of the Genomics project with an informed and educated workforce 5th Choice	Building the legacy of the Genomics project with an informed and educated workforce 6th Choice
How can Informatics help us to mainstream genomic medicine?	How can Informatics help us to mainstream genomic medicine? 1st Choice	How can Informatics help us to mainstream genomic medicine? 2nd Choice	How can Informatics help us to mainstream genomic medicine? 3rd Choice	How can Informatics help us to mainstream genomic medicine? 4th Choice	How can Informatics help us to mainstream genomic medicine? 5th Choice	How can Informatics help us to mainstream genomic medicine? 6th Choice
Informal Laboratory Tour (please note spaces limited)	Informal Laboratory Tour (please note spaces limited) 1st Choice	Informal Laboratory Tour (please note spaces limited) 2nd Choice	Informal Laboratory Tour (please note spaces limited) 3rd Choice	Informal Laboratory Tour (please note spaces limited) 4th Choice	Informal Laboratory Tour (please note spaces limited) 5th Choice	Informal Laboratory Tour (please note spaces limited) 6th Choice

Question Title

* 7. Please provide us with your email address so we can contact you regarding this registration:

Question Title

* 8. If you have any dietary or access requirements that we will need to provide for in order to support your attendance please can you note them below:

West of England Genomic Medicine Centre - Launch Event

R&I Building, North Bristol NHS Trust, 26th September 2016

Question Title

* 1. Please enter your full name:

Question Title

* 2. Please enter your role title:

Question Title

* 3. In order to help us make the event a success please could you select one of the statements below which describes your background and experience with the 100,000 Genomes Programme:

Question Title

* 4. Which, if any, of the following organisations are you employed by or associated with?

Question Title

* 5. Please confirm if you are planning to attend both the morning, lunch and afternoon sessions. Please select all that apply:

Question Title

* 6. In the afternoon several workshops will be available. Delegates will be able to attend 2 workshops. The workshops are listed below please can you rank the workshops in your order of preference (we will endeavour to ensure attendees are able to attend their preferred workshop):

Question Title

* 7. Please provide us with your email address so we can contact you regarding this registration:

Question Title

* 8. If you have any dietary or access requirements that we will need to provide for in order to support your attendance please can you note them below: