Engagement News Scotland

Macmillan in Scotland is keen to involve the voice of people affected by cancer in all our work. To do that, we would like to invite you to sign up to receive information about opportunities to share your views and automatically receive our Engagement Scotland newsletter.

We have a range of involvement opportunities from quick surveys, to ongoing partnership working. We do this via user groups, on-line, by post, by telephone, individual meetings, groups and our newsletter.

You are in control of how much you’d like to share, and you don’t have to answer every question.
You have the right to withdraw your response at any time, and if you would like to do so, please get in touch.

We promise to keep your details safe and never sell or swap them with anyone. This includes any sensitive personal data you may provide. Our privacy policies on our website at Macmillan Privacy Policy Macmillan Privacy-Policy and they explain how we keep this promise. If you don’t want to hear from us, or change your mind about how we contact you, email contact us or call 0300 1000 200.

1. First name:

2. Last name:

3. Email address:

4. Landline number:

5. Mobile number:

6. Address 1:

7. Address 2:

8. Postcode:

9. Local Authority:

10. Please select your local NHS health board if known (if not, please select "don't know")

11. We would like to send you our newsletter, and keep you informed of ways you can get involved and the support that is available for you to do that.

To confirm that you are happy to keep hearing from us by email about ways you can get involved, please tick “yes”.

If you do not tick "yes", we cannot contact you about the newsletter or involvement opportunities.

If you change your mind, you can unsubscribe at any time by email to engagementscotland@macmillan.org.uk and we’ll keep you updated on any changes to our privacy policy, which you can read here https://www.macmillan.org.uk/terms-and-conditions/privacy-policy.html *

12. Are you:

	Yes	No
A person living with, recovering or recovered from cancer	A person living with, recovering or recovered from cancer Yes	A person living with, recovering or recovered from cancer No
A carer / relative / friend of someone with or recovering from cancer	A carer / relative / friend of someone with or recovering from cancer Yes	A carer / relative / friend of someone with or recovering from cancer No
A member of staff working in a cancer environment	A member of staff working in a cancer environment Yes	A member of staff working in a cancer environment No
Other	Other Yes	Other No

If you selected "other" above, please specify:

13. How do you want to be involved? Please tick all that apply:

	Yes	No
Via email i.e. surveys	Via email i.e. surveys Yes	Via email i.e. surveys No
Via post i.e. surveys	Via post i.e. surveys Yes	Via post i.e. surveys No
Via telephone i.e. individual stories	Via telephone i.e. individual stories Yes	Via telephone i.e. individual stories No
Via individual face to face meeting i.e. consultation	Via individual face to face meeting i.e. consultation Yes	Via individual face to face meeting i.e. consultation No
Via group meetings i.e. user groups	Via group meetings i.e. user groups Yes	Via group meetings i.e. user groups No

14. Please tell us your preferred method of communication

	Yes	No
Email	Email Yes	Email No
Post	Post Yes	Post No
Phone - text message	Phone - text message Yes	Phone - text message No
Phone - phone call	Phone - phone call Yes	Phone - phone call No

Thankyou for completing this form, please click below to submit your response.