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Do you consider yourself to have a disability?	No Yes
How would you like to be involved?	Keep in Touch - you'll receive a regular newsletter Get Involved - attend events and help with surveys Work with the NHS Foundation Trust - we'll keep you informed about becoming a Governor
Service preferences	All / Everything Anything else? Add to the notes box below Cancer services Long Term Conditions Older people's services Outpatients Urgent Care (Emergencies) Women and Children's Services
How are you connected with the Trust?	A current patient A past patient I am a Carer
How did you hear about the trust?	Caring for You event Constituency Meeting Elections Employer (Please state) Forever Friends Fundraising Friends of the RUH From a member of staff at RUH Governor recruitment GP or Surgery event Hospital correspondence Hospital Magazine - Insight Letter through the door Maternity Membership Leaflet Newspaper Outpatient Appointment Letter PALS/Complaints/Compliments RUH Website Staff Leaver Thank You Letter Welcome Letter Word of mouth

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Country	UK
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Preferred method of contact
Do you consider yourself to have a disability?
How would you like to be involved?
Service preferences
How are you connected with the Trust?
How did you hear about the trust?

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