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Barnet, Enfield and Haringey NHS
Mental Hearth NHS Trust
A University Teaching Trust
About you and your health - for adult service users
Please help us to make sure we are treating all types of people fairly by completing this questionnaire about yourself and the people who support you.
Please tick or write in your answers. We promise to keep this information confidential and secure. There are some pieces of information we require in
order to identify you and keep an accurate record of your care. There are other things about you which may help us in your care and treatment and
which will help ensure we are treating everyone fairly. You have the option not to disclose this information to us.
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