macmillan
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About you Wed be very grateful if you could answer the questions below. It will help us to understand what you would like to review and how often. This information does not change our relationship or communication with you.(1) Contact details:Full name and title Ms. MONIKA JOSE
Email address
Telephone number 07405936499
Postal address
30 DELBURY COURT, DEERCOTE, HOLLINSWOOD, TELFORD
TF3 2BS
(2) Tick the boxes that best describe you:
Person who has cancer (
Carer (Someone who has had cancer (
A former carer (Friend or relative of someone affected by cancer ( Other -None-
(3) Age:Under 18 (
18-24 (25-34 (35-44 (Prefer not to say (45-54 (55-64 (65-79 (Over 80 (
(4) What is your ethnic group?
Asian (INDIAN)
Please tick here if youd prefer not to say ((5) How did you hear about reviewing for us?
Internet
(6) We can email you to check how busy you are before we send something to review. Would you like us to do this?
Yes ( No (Would you prefer to receive resources by email or by post?
Email ( Post (
(7) Its important our information can be easily understood by anyone. So you do not need to have experience of a type of cancer, treatment or topic to review our resources. However, some reviewers like to receive resources relevant to their own experience. Are you happy to review any resources or do you want to receive only certain topics? Well try to meet your requests. Sometimes, we may ask you if you can review other topics if we cant find enough reviewers.
Im happy to review any topic (I only want to review certain topics (please list below) (Im happy to review most topics, but there are some topics I dont want to review (please list below) (If youve asked us to, well check with you whether you want to review a resource and you always have the right to say no.
(8) How often do you want to review for us?
About once a month (
About once every six months (About once every three months (
About once a year ((9) We will send the new edition of the resource to you to say thank you. Would you like to receive this?
Yes ( No (Visit be.macmillan.org.uk to see our full range of information. If you have any questions, please contact us on [email protected]
Data Protection and Confidentiality:
Can we keep your information to inform you about our work and ways you can support us? Yes [ ( ] No [ ]
Your details will be kept securely and will only be shared with those who work on our behalf or with trusted partners who work with us to provide you with support.
Please contact me by email [ ( ] by post [ (] by telephone [ ]
Cancer Information Development Reviewing 2013