Nurses For Healthier Communities 2022

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* 1. What is your first name?

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* 2. What is your surname?

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* 3. Are you a registered nurse?

Yes

No

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* 4. Do you work or live in any of the following boroughs?

Brent

Ealing

Harrow

Other (please specify)

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* 5. What is the main organisation you work for?

Ambulance service

Charity/Third Sector

Community Interest Company

Community Trust

General Practice

Hospice

Hospital

Independent

Local Authority

NHSE/I

Prison

Primary Care Network

University

Other (please specify)

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* 6. What is the best email address to contact you on?

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* 7. Which ethnicity is most like you?

Asian/Asian British

Black/ African/Caribbean/Black British

Mixed/Multiple ethnic groups

White

Other