Member type	Public Service User/Carer/Family of Service User
Title	Mr Mrs Miss Ms Dr Professor Canon Reverend Wing Commander Capt Col Major Commodore Cllr Sister Master Lady Mayor Rt Hon
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Preferred method of contact	Email Post Telephone SMS
Ethnicity	Not stated White - English, Welsh, Scottish, Northern Irish, British White - Irish White - Gypsy or Irish Traveller White - Other Mixed - White and Black Caribbean Mixed - White and Black African Mixed - White and Asian Mixed - Other Mixed Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Chinese Asian or Asian British - Other Asian Black or Black British - African Black or Black British - Caribbean Black or Black British - Other Black Other Ethnic Group - Arab Other Ethnic Group - Any Other Ethnic Group
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Sexual Orientation	Prefer not to say Heterosexual Lesbian Gay Bisexual

Special Postal Requirements	Please do not send things in the post unless requested
Disabilities	No Yes A Learning Disability A Sensory Disability A Physical Disability A Mental Health Problem Any other special need (please list in box below)
What Level of engagement would you like?	All Receive Members newsletters Receive Invites to Members events and talks Receive information on becoming a CPFT Volunteer Consider standing for annual Council of Governors Elections Participating in target surveys, consultations and provide feedback about our services Receive information about our Head to Toe charity
*Please note that all members will be contacted to nominate and vote in annual Governor Elections and contacted regarding the annual members meeting.
To help us send you the right type of information please indicate the areas you are interested in	All areas of the Trust Adult Mental Health Adult Physical Health Children's and Young people's services Please tick here if you would like more information on becoming a CPFT Volunteer
Please tell us how you heard about our services	At an event Recommended by a friend Other Friend or family member Is there a particular members event that you are interested in attending?

Member type
Last Used Services
Title
First name
Last name
Middle name
Date of birth
Gender
Address
County
Postcode
Country	UK
Home telephone
Mobile
Email
Ethnicity
Faith
Sexual Orientation
Special Postal Requirements
Preferred method of contact
Disabilities
What Level of engagement would you like?
To help us send you the right type of information please indicate the areas you are interested in
Please tell us how you heard about our services

*  I agree to be a member of Cambridgeshire and Peterborough foundation trust and be bound by the rules of the organisation and give consent to the processing of my information.Please note that all members will be contacted to nominate and vote in annual Governor Elections and contacted regarding annual members meetings as a condition of their membership.

This data will be used only to contact you in connection with your membership and to ensure our membership is representative of the population. All data will be stored in accordance with General Data Protection (GDPR). If you no longer wish to be a member at any time your data can be removed from our database by contacting us at foundationtrust@cpft.nhs.uk. Please click here for full details. Trust Privacy notice here.

Please tick here if you consent to your details being added to the Public Register.