Member type	Public Staff
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Do you consider yourself to have a disability?	No Yes A sensory disability A physical disability A learning disability A mental health problem Any other special need (please specify)
How would you like to be involved?	Standing for election to the Council of Governors Being consulted on by the Trust for new developments, changes to services, etc. Attending meetings or events Becoming a volunteer
Topics of interest?	Medicine Women's health Children's services Surgery National Spinal Injuries Centre Outpatient services Other support services (please specify)
How are you connected with the Trust?	A patient at Homerton A carer of a Homerton patient A volunteer at Homerton
How did you hear about the trust?	Online Application Public meetings Public consultation mailing Other (please list)

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Country	UK
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Do you consider yourself to have a disability?
How would you like to be involved?
Topics of interest?
How are you connected with the Trust?
How did you hear about the trust?

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