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User Categories:
Organisation or employer* :
Job Title:*
Are you field based or office based?*
Field Based*
Office Based*
Other, please specify:*
Country:*
Region (England)*
Region (Scotland)*
Region (Wales)*
Region (Northern Ireland)*
Sector*
Type of Employer (Primary Care)*
Type of Employer (Acute and Secondary Care)*
Type of Employer (Health Board)*
Type of Employer (Community Pharmacy)	No dropdown for this section
Type of Employer (Other NHS Pharmacy)*
Type of Employer (Other Health Care)	No dropdown for this section
Type of Employer (Education and Research)*
Type of Employer (Public Health and Councils)*
Role (Primary Care CCG)*
Role (Primary Care CSU)*
Role (Primary Care STP / ICS)*
Role (Primary Care PCN / GP Federation)*
Role (Primary Care GP Practice)*
Role (Primary Care Community Trust / Partnership Trust)*
Role (Acute and Secondary Care Hospital)*
Role (Acute and Secondary Care Mental Health Trust)*
Role (Acute and Secondary Care Private Provider)*
Role (Health Board Primary Care)*
Role (Health Board Acute and Secondary Care)*
Role (Community Pharmacy)*
Role (Other NHS Pharmacy Specialised Commissioning)*
Role (Other NHS Pharmacy Addiction Services)*
Role (Other Health Care)*
Role (Education and Research AHSN)*
Role (Education and Research Research)*
Role (Education and Research Education)*
Role (Public Health and Councils Local Authorities)*
Other Pharmacist: Please describe type of pharmacist*
Area of Specialty:
Are you an independent Prescriber?*