Clozapine Survey 2023

Closes 6 Oct 2023

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Your details

Please complete the following introductory questions before starting the survey.

You are not required to provide your name, contact details or ethnicity, however you may provide this information if you wish. 

What is your name?
What is your email address (or other contact details)?
What is your ethnicity?
Please select from below which best describes you.
(Required)
We intend to publish the submissions from this survey, but we will only publish your submission if you give permission. We will remove personal details such as email addresses and the names of individuals, and any other information that you tell us to remove. If you do not want your submission published, please let us know below.
(Required)
Official Information Act responses

Your submission will be subject to requests made under the Official Information Act (even if it hasn’t been published). If you want your personal details removed from your submission, please let us know below. We will take this into account when responding to requests under the Official Information Act.

(Required)
Please let us know any other information that you would like us to remove from your response.