We want to hear from you: A Gold Standard in Treatment and Care

About you

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* 1. Name (not compulsory):

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* 2. Email address (not compulsory):

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* 3. Telephone number (not compulsory):

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* 4. I am a (tick one):

A person with axial spondyloarthritis (including ankylosing spondylitis)

A carer, family member or friend of someone with axial spondyloarthritis or ankylosing spondylitis

Other (please specify)

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* 5. Are you happy to be contacted to discuss your evidence in more detail?

If you tick yes, don't forget to go back and give us your name and contact details at the beginning if you haven't already done so.

Yes – you can contact me by email

Yes – you can contact me by telephone

No