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Introduction
Thank you for your interest in the Mount Vernon Cancer Service Review. We’d love you to take part in the discussions and questionnaires on this website so please register your details to log in. You will only need to register once and then you can use your user name and password to comment in future.
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User name (This name will appear publicly when you make a comment)
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Email
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Password
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Your password must contain 8-16 characters with at least 1 number, 1 lower case and 1 upper case letter
Confirm password
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Your interest in Mount Vernon
Why are you interested in the Mount Vernon cancer service (tick as many as are relevant)?
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Current Mount Vernon patient
Carer for a current Mount Vernon cancer patient
Previous Mount Vernon patient
Carer for a previous Mount Vernon cancer patient
Mount Vernon staff member
Staff member in a partner hospital / service
Local Healthwatch
Voluntary, community or faith group organisation
NHS stakeholder organisation (ICS/STP/CCG)
GP / primary care
Other
This will help us make our content more relevant and help us understand who we are getting feedback from.
About you
It would help us if you could tell us a bit about yourself. We will only use this information to help us understand whether we are getting feedback from all those who may use our services, to ensure everyone has equal access to those services . Many of the questions are optional, or you please select the "prefer not to share" option.
Postcode (What is the first part of your postcode (the first three or four characters)?)
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This will help us ensure we are getting feedback from the whole area that Mount Vernon serves.
0/4
Your age group
Select option
This will help us understand whether we are reaching all those who may use our services, to ensure everyone has equal access to those services.
Ethnic background
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This will help us understand whether we are reaching all those who may use our services to ensure everyone has equal access to those services.
Gender
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Female
Male
Transgender
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This will help us understand whether we are reaching all those who may use our services to ensure everyone has equal access to those services.
Do you consider yourself to have a disability?
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This will help us make our content more relevant and help us understand who we are getting feedback from.
Sexuality. How would you describe your sexuality?
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This will help us make our content more relevant and help us understand who we are getting feedback from.
Your religion or belief:
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This will help us make our content more relevant and help us understand who we are getting feedback from.
Are you a carer?
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No
Yes, for someone currently undergoing cancer treatment
Yes, for child/children under 18 years living at home
Yes, for a relative or person living with you
Yes, for a relative or person living elsewhere
Prefer not to say
This will help us make our content more relevant and help us understand who we are getting feedback from.
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Thank you
We look forward to hearing your views and ideas.
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