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* 1. Were you aware of the proposed merger between the Royal Surrey County Hospital NHS Foundation Trust and Ashford & St Peter's Hospitals NHS Foundation Trust?

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* 2. Would you like to find out more about this?

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* 3. If yes, how would you like to find out?

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* 4. Please select your local Trust

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* 5. Are you a member?

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* 6. Do you have any questions, comments or concerns? Is there anything in particular you would like to know?

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* 7. If you wish to find out more information via email, please add your email address here

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