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Directory form

Thank you attending 'The future of Mental Health in Wessex' meeting. 

Please note: By filling in this form, you are 'opting-in' for your data to be shared with other Mental Health researchers across Wessex and you give us permission for this to be held on the 'Future of Mental Health research' NHS Network.

If you do not wish your information to be shared with others, you can still join the 'Future of Mental Health research' NHS Network, but please do not complete this form.

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* 1. Please tell us your name (optional)

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* 2. Please tell us your role (optional)

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* 3. Which organisation is your primary employer

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* 4. Please enter your email address (optional)

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* 5. What are your main areas of clinical practice?

Please enter your main areas of clinical interest

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* 6. What areas of research are you interested in?

Please enter any areas of research you are either active in, or would be interested in developing further

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* 7. Which of the following are you currently involved in?

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* 8. Which of the following would you like to be involved in?

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* 9. Please list the resources currently available to you

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* 10. Please list any previous publications

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