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First Name
Last Name
Email
telephone
What is your reason for enrolling on the GU1DE education programme?
I don’t have Type 1 but want to learn more
I am a health care professional
I am a parent of someone with type 1 diabetes
I care for someone with type 1 diabetes
I live with type 1 diabetes
What is your reason for enrolling on the GU1DE education programme?
GP Surgery Name
Professional title
Grade
Age
16-19
20-29
30-44
45-59
60-74
75 and Over
Age
Ethnicity
Ethnicity
ICS
ICS
Ethnicity
Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Other Asian background
Asian or Asian British – Pakistani
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – Other Black background
Chinese
Mixed – Other mixed background
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Prefer not to disclose my ethnicity
White – British
White – Irish
White – Other White background
Trust
Site
Site
Tutor
Tutor
Gender
Female
Intersex
Male
Non-Binary
Prefer not to say
Gender
Degree
Degree
Please select your age
18
18-24
25-34
35-44
45-54
55-64
65 or older
prefer not to answer
Age
Please select your gender
Male
Female
Transgender
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gender
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member_list_code
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