Please note:
The completion and submission of this form confirms that the person with MND has consented to the MND Association keeping a record of their details which will be stored securely in accordance with the requirements of Data Protection Regulations.
The following sections are optional and can be left blank if you prefer not to answer: Date of birth, Gender.
There is no obligation to provide this information but it is used anonymously and is invaluable in helping us determine to what extent different communities are and are not using our services and most importantly to then identify and remove barriers to participation. We are committed to becoming a fully inclusive organisation.
The person that provides/would provide non-paid care and support on a regular basis (For example, Spouse, Partner, Parent, Family member/Friend)