Employer of people with OA: Expression of Interest Form

Please complete the following information.

Name*
First Last
Address*
Street Address City Postcode
Telephone Number
landline, inc. area code
Mobile
Best time if we need to call you
Email*
Enter Email Confirm Email
For each question, please tick as appropriate:
Are you:*
Date of Birth*
Are you Employed? (including self-employed) at least 1 day/week?
- Yes
- No
What is your current position/role at work?
Are you currently on sick leave?
- Yes
- No
I am interested in taking part*
- Yes
I give permission for my contact details to be forwarded to the research team at the University of Salford.

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