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Please complete the following details about yourself and what you would like to take part in.
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What would you like to take part in
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As a member of the panel you will receive a Devon Voice questionnaire about 4 times a year to fill in, how would you like to receive these questionnaires?
(please select one option only)
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You can also choose to take part in telephone surveys and focus groups, these take place as and when issues arise that we need your opinion on - usually not more than 2 or 3 times a year
(please select the options you would like to take part in)
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Please enter your contact details in the following boxes
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(including postcode)
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(Please include the area code - your number will only be used for telephone surveys or to invite you to take part in discussion groups)
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About you
(these questions help us achieve a balance of people on the panel to best represent the population of Devon)
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(please enter as mm/dd/yyyy)
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Do you have any children in the following age groups:
(select all that apply)
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Do you consider yourself to have a long-term illness or disability?
(please select one option only)
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If yes, is this:
(please select relevant options)
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Are you retired?
(please select one option)
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Please tick the box below that best describes your ethnic background:
(please select one option)
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Thank you.
Please press the submit button once to send your information.
We will be in touch shortly to let you know if we
have a space available for you on the panel.
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