NHS Ayrshire & Arran Diabetes Patient Information & Awareness Session - Troon Walker Hall Thursday 28th May 2026

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1. Question 1.

First Name

Required - Required.

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2. Question 2.

Surname

Required - Required.

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3. Question 3.

Address

Required - Required.

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4. Question 4.

Postcode

Required - Required.

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5. Question 5.

Telephone Number

Required - Required.

6. Question 6.

Email Address

7. Question 7.

Do you have any special requirements?

8. Question 8.

What do you hope to gain from the Diabetes Information and Awareness session?

9. Question 9.

Is there anything else you would like us to know before the day?

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10. Question 10.

Please read the following and if you agree, please give your consent by ticking the box below.

Required - Required.

By submitting this form I agree to providing NHS Ayrshire & Arran with my contact details for the purposes of advent administration and to be contacted if required.