BIRD Psoriatic Arthritis (PsA) Webinar 23rd March - Registration of interest

We'd be grateful if you could complete the questions below to register your interest in attending and to help us plan what you need to hear about in the content. By completing the questionnaire and including your email address you are giving BIRD permission to contact you about the webinar.

Please note whilst filling out this registration, the experts will not be able to answer questions of a highly personal nature (such as those you might ask at a clinic appointment). Our aim is to try to give people a comprehensive understanding of the condition, treatment and medications.

We will collect all responses and contact you in the future to confirm your invite and send a link to the webinar. Spaces are limited so it maybe that we will ask if you would like to go on a waiting list.

With best wishes. The BIRD Team

Many thanks in advance.

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* 1. Please tick to confirm your interest in the PsA Webinar and that you are happy for us to email you with further details.

Yes, I am interested in attending

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* 2. Name

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* 3. Please provide your email address:

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* 4. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 5. What is your gender?

Female

Male

Prefer not to say

Other

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* 6. Please enter the name of the town you live in, or your nearest town

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* 7. Do you work?

Full-time

Part-time

Retired

Any comments?

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* 8. How long is it since you were diagnosed with your condition?

Recently, within the last year

2-5 years

5-10 years

10 year +

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* 9. Which part of your condition do you feel most informed about?

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* 10. Which part of your condition do you feel least informed about?

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* 11. If you have attended any kind of webinar(s) in the last year, please tell us what has worked and what doesn't work for you?

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* 12. Do you have a question you would like to ask the experts in a Webinar to answer? If yes please enter below. (Please note questions can't be about personal medication or details).

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* 13. Where have you accessed information about your condition in the past (non-BIRD or event related)?

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* 14. Have you been to a BIRD Information Event in Bath in the past?

Yes

If yes, which events have you attended and what part of the Information day did you enjoy the most?

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* 15. Have you listened to one of BIRDs information podcasts?

Yes

If yes, which podcasts and what information was most useful?

BIRD Psoriatic Arthritis (PsA) Webinar 23rd March - Registration of interest

Question Title

* 1. Please tick to confirm your interest in the PsA Webinar and that you are happy for us to email you with further details.

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* 2. Name

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* 3. Please provide your email address:

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* 4. What is your age?

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* 5. What is your gender?

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* 6. Please enter the name of the town you live in, or your nearest town

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* 7. Do you work?

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* 8. How long is it since you were diagnosed with your condition?

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* 9. Which part of your condition do you feel most informed about?

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* 10. Which part of your condition do you feel least informed about?

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* 11. If you have attended any kind of webinar(s) in the last year, please tell us what has worked and what doesn't work for you?

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* 12. Do you have a question you would like to ask the experts in a Webinar to answer? If yes please enter below. (Please note questions can't be about personal medication or details).

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* 13. Where have you accessed information about your condition in the past (non-BIRD or event related)?

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* 14. Have you been to a BIRD Information Event in Bath in the past?

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* 15. Have you listened to one of BIRDs information podcasts?

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* 16. How useful is our offer of an information webinar to you and how important is it for you to be able to access information in different ways?