Domain of Action Group membership Copied to clipboard Please let us know how you would like to proceed. We would like you to let us know how you wish to proceed with your involvement in the Domain of Action Groups. You may wish to proceed as you have been doing, switch to another group or remove yourself from the process at this stage. HonorariaWe will be offering a set honoraria to those who's employers are unable to support your participation in this project. This will be for those who are self-employed, freelancers, unemployed, or who are doing this over and above their usual working hours. We have used guidance from the NIHR and the NHS to inform the amounts awarded and will offer monetary recognition of the time you volunteer towards this project. Data protection**edit the text in [italics]**This [survey/questionnaire] forms part of the evaluation of [programme]. You have been invited to respond because [e.g. you were a member of that programme]. We want to learn about your experience of [programme] so that [reasons]. We estimate this [survey/questionnaire] will take approximately [xx] minutes to complete. As part of the [survey/questionnaire], we will ask for details that could be used to identify you – [e.g. your name, email address, job title, institution, location, etc.]. This information is needed so that we can [reason] We will store all your responses securely in files held on Microsoft services hosted by the University of the West of England, Bristol. The data are accessible only to members of the NCCPE; access requires multifactor authorisation using institutional names and passwords. Before we store the responses, we will remove any information that could be used to identify a person or organisation. Your responses will be stored for ten years from the closing date of the [survey/questionnaire], after which time they will be permanently destroyed. Responses that could be used to identify you (e.g. name and email address) will be de-linked from the rest of your responses (including any information you choose to give concerning protected characteristics) and stored separately. Only members of the NCCPE will be able to access data that could identify you. You may contact NCCPE Enquiries (nccpe.enquiries@uwe.ac.uk) at any time before [closing date+ten years] to ask that your responses are permanently removed from the record. If you have any concerns about the [survey/questionnaire], please contact [name + email of programme leader]. If you would prefer to speak to someone who was not directly involved in the organisation of the [programme], please email nccpe.enquiries@uwe.ac.uk. Data protection consentTo receive your responses, the NCCPE requires your consent for us to process your personal data.Please see our Privacy Notice for information on how your personal data will be processed. Do you consent to the NCCPE processing your personal data for the purposes of: Questions Yes No Processing your responses (consent is required for us to accept your submission) Yes No Sending emails from the NCCPE about public engagement news and events? Yes No Thank you for your interest. If you would like to complete this webform we need your consent to process your responses as described above.