COVID-19: View from membership

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Are you happy for FPH to contact you directly in relation to the data you are submitting? *

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Are you happy for us to share your personal data with other parties relevant to any future inquiry? *

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Are you happy for these parties to contact you? *

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If you naming others who are not in the public domain within your submission please indicate that you have their permission to do so

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First name

Surname

Email address

Membership number

Membership grade

Where do you work?

England Scotland Wales Northern Ireland International

Where do you work in the public health system?

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Which of the following areas do your comments relate to? (please choose one per text box)

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