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First Name:
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Last Name:
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Email:
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Profession
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Alternative therapist
Dermatologist
Dietitian
Gastroenterologist
GP
Neurologist
Nurse
Nutritionist
Pharmacist
Physiotherapist
Other
Name of hospital/practice
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Region
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London
South East
South West
East Anglia
East Midlands
West Midlands
North East
North West
Northern Ireland
Wales
Scotland
Europe
Rest of World
Do you work in the NHS or private practise?
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NHS
Private Practice
Both
How did you first hear about Heights?
Conferences & Events
LinkedIn
Facebook
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Peer referrals
Main patient/client concern
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Brain health
Mental health
Gut health
General wellness
Preventative health/aging well
Nutrition
Sleep
Skin and/or hair
Muscle recovery
Sports performance
Womens health
Fertility, pregnancy, post partum
Other
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