The PALLUP Study – Educational film

Data submitted via this form will be handled in line with the University of Surrey's Information Management Policies.

Thank you for your interest in accessing our educational film on the needs of older people living with advancing frailty (The PALLUP Study©).

Access to use the film for educational purposes is free but so that we can know how it is used and by whom and where, we have some quick questions first:

Name

We want to try and capture any impact that this film has. Would you be happy for us to contact you at 12-month intervals (via email) to ask you a few questions about your use of the film and any suggestions for improvement?

If so, please provide your email address (we will not use your email address for any other purposes or pass onto anyone else):

I have read and understood the University's PALLUP Study - Educational film privacy notice.
I am happy for the University of Surrey to contact me by email with relevant information about the PALLUP study.