By completing this form you are consenting to Healthwatch Milton Keynes holding personal information about you for the purpose of your membership. We use this information to send you e-alerts and and contact you about Healthwatch Milton Keynes activities. Please see our Privacy statement for more information.

We collect sensitive personal data on our members to ensure that we represent all sections of the community. If you are happy to for us to have this data, please complete the form below. By completing the below you are consenting to us holding and storing this data. If you would rather not provide us with sensitive personal information, please leave this section of the form blank and hit the 'submit' button below.

By telling us more information about yourself you can help us better understand the relationship between people's personal characteristics and their experiences. However, if you do not wish to answer these questions you do not have to.