Training - Thinking Pitstops

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Saturday, 5 March. 9.30am to 1.30pm

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Name - version you prefer *

Surname *

Your e-mail *

Please re-type your e-mail *

Organisation *

NHS Foundation Trust

GP Surgery

Pharmacist

Optometrist

Somerset County Council

Voluntary organisation

其他：

Place and name of the organisation you work with *

Role in the organisation *

How did you hear about Thinking Pitstops. Please be as specific as possible about the person/service/communication where you heard about it *

Demographic information - Gender *

Female

Male

Prefer not to state

其他：

Demographic information - Age *

Under 20

21 to 30

31 to 40

41 to 50

51 to 60

61 to 70

Above 70

Demographic information - Ethnicity *

White

Asian / Asian British

Black / Black British

Multiple ethnic groups

Prefer not to state

其他：

IMPORTANT - PLEASE CLICK SUBMIT BELOW

Please click Submit button below. Otherwise your enrolment will not reach us

Thank you. We will send you details for the training shortly.

We will be sending you a zoom link for the session and some information prior to the session. Please check your spam folder if you don't find it in your main inbox within the next week. For any questions, please contact Heidi Mould at heidi.moule1@nhs.net

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