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Thank you for your interest in Get Involved in Gloucestershire. By registering, you will be notified of ways in which you can get involved in our work and/or contribute to local Engagement and Consultation activities. The following form asks you to express your preferences for how we communicate with you and identify any particular areas and topics of interest. Registration is not compulsory, but it does help us keep you informed. If there are any questions you do not want to answer, you can select the "prefer not to say" option. Please be assured that in line with our Information Governance responsibilities, the information you provide when registering will be treated in confidence, kept securely and not shared with any individuals or organisations outside NHS Gloucestershire Integrated Care Board.
Your password must contain 8-16 characters with at least 1 number, 1 lower case and 1 upper case letter
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How can we contact you, or share information with you? (please tick all that apply)
How might you want to get involved? (please tick all that apply)
Which of the following topics are you interested in? (please tick all that apply)
Are you a member of a community group/voluntary sector organisation/Patient Participation Group/political group?
The following information helps us to know whether a wide range of people are "Getting Involved in Gloucestershire". This is not intended to capture information about all of the protected characteristics (as defined by the Equality Act 2010), as this information is routinely captured through our range of Engagement and Consultation activities.
Are you:
What is your age group?
Do you identify with your gender as registered at birth?
Which of the following best describes how you think of yourself?
Do you consider yourself to have a disability? (please tick all that apply)
Which best describes your ethnicity?
Do you look after, or give help or support to family members, friends, neighbours or others because of either long term health conditions (mental or physical) or problems related to old age? Please do not count anything you do as part of your paid employment.
Which best describes you?

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