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Join the RCOG Women’s Voices Involvement Panel

Thank you for your interest in joining the RCOG Women’s Voices Involvement Panel. The following short questionnaire will allow us to gain some information about you so that we can register you onto our database. You will then be kept up to date with the latest opportunities to use your experience of O&G services to influence the College’s work.

Some questions ask for details that you may find personal such as your date of birth, your postcode or your ethnicity. We’re asking for this information so that we can make sure we have a wide range of people on the panel. Your answers will remain confidential. You do not have to answer these questions but it would be helpful if you do.

If you are joining the panel representing an organisation or group, please let us know if you feel there would be any conflict of interests between your organisation and with the aims of the panel and/or the work of the College. Declaring a conflict will not mean that you won’t be able to join the panel, but may mean that some opportunities may not be suitable for your involvement.

Individuals or organisations found to be using association with the College through membership of the panel for commercial benefit will be removed. Use of the College logo by members of the panel is also not permitted.

Complete the questionnaire

1. Are you interested in being a member of the panel as:*
1

3. Can you foresee any conflict of interests between the aims of the panel/the work of the RCOG, and the organisation(s) you are associated with?
3. Can you foresee any conflict of interests between the aims of the panel/the work of the RCOG, and the organisation(s) you are associated with?

9. What is your particular interest in/experience of obstetrics and gynaecological services?
9. What is your particular interest in/experience of obstetrics and gynaecological services?





10. Have you had a baby/babies within the last three years?
10. Have you had a baby/babies within the last three years?

11. What sort of opportunities to be involved are you interested in? (please tick as many as you would like)
11. What sort of opportunities are you interested in? (please tick as many as you want)






13. Do you consider yourself to have a disability?
13. Do you consider yourself to have a disability?

14. How would you describe your sexual orientation?
14. How would you describe your sexual orientation?




I have read the information explaining the aims of the Women's Voices Panel on the RCOG website and I know what is expected of me as a member.