1. NEW Live Your Life - A Guide for Teenagers with Eczema

 
50% of survey complete.

As part of our mission to make life less challenging for children in their teenage years living with the condition, the National Eczema Society is excited to launch our brand new Teens booklet, packed with information and advice.  Aimed at 11-19 year olds, booklets are available online at http://www.eczema.org/pages/317

We also have a limited supply of free printed booklets, so no more than one pack per household or 50 booklets per order, for teachers and healthcare professionals ordering to use them at work. Sorry but we are unable to post printed packs outside the UK.

All you have to do is fill out your contact details below.

*For teachers and healthcare professionals looking for multiple copies for use at work, you must supply your job title and work address*

Forename

Question Title

* 2. Forename

Surname

Question Title

* 3. Surname

What is your Job Title?
*This question requires an answer and is aimed at teachers and healthcare professionals.
If that's not you, just put N/A.

Question Title

* 4. What is your Job Title?
*This question requires an answer and is aimed at teachers and healthcare professionals.
If that's not you, just put N/A.

Number of packs

Question Title

* 5. Number of packs

Address Line 1

*Teachers and Healthcare professionals - please supply your work address, nursery, school ,GP surgery, hospital or clinic etc*

Question Title

* 6. Address Line 1

*Teachers and Healthcare professionals - please supply your work address, nursery, school ,GP surgery, hospital or clinic etc*

Address Line 2

Question Title

* 7. Address Line 2

Address Line 3

Question Title

* 8. Address Line 3

Town

Question Title

* 9. Town

County

Question Title

* 10. County

Postcode

Question Title

* 11. Postcode

Telephone number:

Question Title

* 12. Telephone number:

Email address:

Question Title

* 13. Email address:

How did you become aware of this offer? - e.g. from the NES website, search engine, other internet site, Twitter, Facebook etc. Thank you.

Question Title

* 14. How did you become aware of this offer? - e.g. from the NES website, search engine, other internet site, Twitter, Facebook etc. Thank you.

We may occasionally wish to write to you about the work of the National Eczema Society. Please check Yes if you agree we may do so.

Question Title

* 15. We may occasionally wish to write to you about the work of the National Eczema Society. Please check Yes if you agree we may do so.

T