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Sign up for free below and you’ll get a lifetime of advice and support – whenever you need it. Whether you have a spinal cord injury or know someone who’s been injured – or you’re a professional looking for support. We’ll give you the support you need and direct you to the right people. And you’ll be joining a community of people who share a positive vision of a fulfilled life after spinal cord injury.
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I am a spinal cord injured (SCI) person
I am a family member or friend of an SCI person
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Your data
It would help us to run SIA more effectively, if you give us more information about yourself. If you choose to give us this information, we will use it to communicate with you about the issues most relevant to you, keep statistics about the demographic make up of our membership and understand more about different treatment locations and awareness of SIA.
I am
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Prefer not to say
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Your date of birth.
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White - Irish
White - Gypsy or Irish Traveller
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Mixed / Multiple ethnic groups - Any other Mixed / Multiple ethnic background
Asian / Asian British - Indian
Asian / Asian British - Pakistani
Asian / Asian British - Bangladeshi
Asian / Asian British - Chinese
Asian / Asian British - Any other Asian background
Black / African / Caribbean / Black British - African
Black / African / Caribbean / Black British - Caribbean
Black / African / Caribbean / Black British - Any other Black / African / Caribbean background
Other ethnic groups - Arab
Other ethnic groups - any other ethnic group
Occupation
How did you hear about SIA
(Required)
SIA support line
Support coordinator
Peer support volunteer
SIA SCI nurse specialist
Healthcare professional
Friend or family member
Internet search
Word of mouth
SIA counselling service
CES UK
SIA appeal
SIA event
Third party fundraising website
Social media
Other
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Please let us know which support coordinator you were in contact with.
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Gareth Jones
Gary Dawson
Kevin Ogilvie
Brendan Fitzgerald
David Eastham
Harry Langley
Jack Mannings
Gaynor Thompson
Richard Devine
Danny Byrne
Joe Steele
Lisa Boyle
Please let us know the name of the volunteer you were in contact with.
(Required)
Date of injury
Cause of injury
What is your level of injury?
C1
C1/2
C2
C2/3
C3
C3/4
C4
C4/5
C5
C5/6
C6
C6/7
C7
C7/T1
T1
T1/2
T2
T2/3
T3
T3/4
T4
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T5
T5/6
T6
T6/7
T7
T7/8
T8
T8/9
T9
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T10/11
T11
T11/12
T12
T12/L1
L1
L1/2
L2
L2/3
L3
L3/4
L4
L4/5
L5
L5/S1
S2
S2/3
S3
S3/4
S4
S4/5
S5
Other
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Is your injury
Complete
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Where were you treated for your initial rehabilitation?
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How we use your data
SIA needs your personal data to process your membership and we will use it to keep you informed about our services and activities.
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Email
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Why we will contact you
We will contact you for the following reasons:
SIA communications - regular updates concerning our work, including our campaigning, the events we organise and how you can support us now and in the future. This will include our newsletter called The Voice and information from our SIA Healthcare Partner Bullen Healthcare.
To provide information about our training and education.
Please tick below to let us know the type of communications you would like to receive from us.
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SIA communications
Training and education
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