Name

First Name

Last Name

NHS Email

If you do not have access to an NHS email address, please provide a personal email address or contact.

Department

What prompted you to read the newsletter today?

Please select one of the following:

Everyone Email

Huddle Slides

Paper Copy

Regular Reader

Colleague

Intranet

Other

If 'Other' please specify:

Riddle Answer

Are you interested in joining our mailing list where paper copies of the newsletter will be hand delivered to your department?

If so, let us know how many copies you would like to be delivered each month below:

Connect To The Western - Riddle